NICOLE M GOWAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

GOWAN

Business Name

NICOLE M GOWAN

Original Issue Date

09/29/2018

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2024