Name | GAIL POLENA LYNN |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
COA.00219-NS | Clinical Nurse Specialist | 06/30/1997 | 08/29/2013 | 08/31/2015 | INACTIVE | ||||||||||
RN.256286-1 | Registered Nurse-1 Certificate of Authority | 12/19/1994 | 06/22/2015 | 08/31/2017 | ACTIVE | Endorsement |