MARK NORBERT GUIAB Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

MARK

Middle

NORBERT

Last Name

GUIAB

Business Name

MARK NORBERT GUIAB

Original Issue Date

08/02/2017

Effective Date

10/01/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/01/2020