NASTASSIA MARIE GURGANUS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010746

License Status

INACTIVE

Business

First Name

NASTASSIA

Middle

MARIE

Last Name

GURGANUS

Business Name

NASTASSIA MARIE GURGANUS

Original Issue Date

09/23/2013

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/08/2020