GAVIN B LONGWAY - Advanced Practice Nurse License in Illinois | # 209026746

GAVIN B LONGWAY

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026746

License Status

ACTIVE

Business

N

First Name

GAVIN

Middle

B

Last Name

LONGWAY

Business Name

GAVIN B LONGWAY

Original Issue Date

01/25/2023

Effective Date

03/21/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026