AUTUMN A GIBSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103187

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

GIBSON

Business Name

AUTUMN A GIBSON

Original Issue Date

03/05/2007

Effective Date

03/05/2007

Expiration Date

01/31/2009

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

03/17/2009