GALAXIE GAVIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

GALAXIE

Last Name

GAVIN

Business Name

GALAXIE GAVIN

Original Issue Date

10/26/2018

Effective Date

08/17/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024