LIAUW D GUNAWAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017128

License Status

ACTIVE

Business

First Name

LIAUW

Middle

Last Name

GUNAWAN

Business Name

LIAUW D GUNAWAN

Original Issue Date

01/16/2018

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026