RUTHIE C GAVIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

RUTHIE

Middle

Last Name

GAVIN

Business Name

RUTHIE C GAVIN

Original Issue Date

05/21/2019

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026