ANGELA J GILLES Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

CANCELLED

Business

First Name

ANGELA

Middle

Last Name

GILLES

Business Name

ANGELA J GILLES

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

05/31/2006

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

09/28/2006