STAVROULA MELEGOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

STAVROULA

Last Name

MELEGOS

Business Name

STAVROULA MELEGOS

Original Issue Date

02/08/2012

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60175

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2018