JODY K GOSNELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

JODY

Middle

Last Name

GOSNELL

Business Name

JODY K GOSNELL

Original Issue Date

09/23/2016

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2025