YAFFA Y KAGAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

YAFFA

Middle

Last Name

KAGAN

Business Name

YAFFA Y KAGAN

Original Issue Date

10/10/2018

Effective Date

05/06/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

05/06/2020