ANNA LEA JIVOTOVSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

LEA

Last Name

JIVOTOVSKI

Business Name

ANNA LEA JIVOTOVSKI

Original Issue Date

07/18/2018

Effective Date

07/18/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60630

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021