DANA L GIBSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

DANA

Middle

Last Name

GIBSON

Business Name

DANA L GIBSON

Original Issue Date

08/16/2017

Effective Date

05/20/2022

Expiration Date

06/30/2024

City

GENESEO

State

Zip

61254

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2025