YAFFA Y KAGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

YAFFA

Middle

Last Name

KAGAN

Business Name

YAFFA Y KAGAN

Original Issue Date

10/06/2017

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021