BOHDAN KONTSEVYY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

BOHDAN

Last Name

KONTSEVYY

Business Name

BOHDAN KONTSEVYY

Original Issue Date

04/30/2020

Effective Date

04/30/2020

Expiration Date

08/31/2022

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022