LEON GURVICH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

LEON

Last Name

GURVICH

Business Name

LEON GURVICH

Original Issue Date

10/24/2007

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2018