MARK N GORMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000180

License Status

NOT RENEWED

Business

First Name

MARK N

Last Name

GORMAN

Business Name

MARK N GORMAN

Original Issue Date

05/01/2001

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

LOUISVILLE

State

Zip

40241

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2016