KRISTEN MARIE GERVASI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MARIE

Last Name

GERVASI

Business Name

KRISTEN MARIE GERVASI

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018