GILBERT J GUTIERREZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

GILBERT

Middle

Last Name

GUTIERREZ

Business Name

GILBERT J GUTIERREZ

Original Issue Date

06/21/2022

Effective Date

06/21/2022

Expiration Date

06/30/2024

City

O'FALLON

State

Zip

62269

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024