MARY E GIBSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

GIBSON

Business Name

MARY E GIBSON

Original Issue Date

05/23/2001

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

MATTESON

State

Zip

60443

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/28/2018