MARY KAY BARRON GAWNE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

MARY KAY

Middle

BARRON

Last Name

GAWNE

Business Name

MARY KAY BARRON GAWNE

Original Issue Date

09/27/2001

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60655

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021