TERRAH KOPPIE GAVRILOS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

TERRAH

Middle

KOPPIE

Last Name

GAVRILOS

Business Name

TERRAH KOPPIE GAVRILOS

Original Issue Date

11/30/2016

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

BARRINGTON

State

Zip

60010

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2024