OLLIE M GORDON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016122

License Status

NOT RENEWED

Business

First Name

OLLIE M

Last Name

GORDON

Business Name

OLLIE M GORDON

Original Issue Date

09/16/1966

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/21/2005