DEBORAH ANN GORTOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

GORTOWSKI

Business Name

DEBORAH ANN GORTOWSKI

Original Issue Date

08/31/2017

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021