PAUL S HAVRILKA III Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000069

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

HAVRILKA III

Business Name

PAUL S HAVRILKA III

Original Issue Date

09/13/2019

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

WALNUT HILL

State

Zip

62893

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/19/2026