STEPHANIE D GORDON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GORDON

Business Name

STEPHANIE D GORDON

Original Issue Date

03/04/2019

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026