TERRAH KOPPIE GAVRILOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015215

License Status

INACTIVE

Business

First Name

TERRAH

Middle

KOPPIE

Last Name

GAVRILOS

Business Name

TERRAH KOPPIE GAVRILOS

Original Issue Date

11/30/2016

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

03/10/2024