| Name | JONATHAN CLIFFORD GOGOL |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| IP.407563-MEDS | Practical Nurse w/MEDS- Temporary Work Permit | 12/16/2004 | 12/16/2004 | 06/16/2005 | CLOSED | License Issued | |||||||||
| PN.117971-MEDS | Licensed Practical Nurse - MEDS | 02/28/2005 | 04/30/2014 | 08/31/2016 | ACTIVE | Endorsement | |||||||||