ELENA MARIE GAVIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

ELENA MARIE

Last Name

GAVIN

Business Name

ELENA MARIE GAVIN

Original Issue Date

07/23/2022

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026