JAMIE N GIBSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

GIBSON

Business Name

JAMIE N GIBSON

Original Issue Date

12/06/2016

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

PAW PAW

State

Zip

61353

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026