GAVIN B LONGWAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026746

License Status

ACTIVE

Business

First Name

GAVIN

Middle

Last Name

LONGWAY

Business Name

GAVIN B LONGWAY

Original Issue Date

01/25/2023

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026