NameJONATHAN CLIFFORD GOGOL
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
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

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