ALISSA A GORDON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

ALISSA

Middle

Last Name

GORDON

Business Name

ALISSA A GORDON

Original Issue Date

08/02/2017

Effective Date

06/26/2024

Expiration Date

05/31/2026

City

ROCK ISLAND

State

Zip

61201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026