PAUL S HAVRILKA III Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010715

License Status

INACTIVE

Business

First Name

PAUL

Middle

Last Name

HAVRILKA III

Business Name

PAUL S HAVRILKA III

Original Issue Date

09/12/2013

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

WALNUT HILL

State

Zip

62893

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/15/2018