CHRISTINE ANN KAVANAUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

ANN

Last Name

KAVANAUGH

Business Name

CHRISTINE ANN KAVANAUGH

Original Issue Date

02/28/2023

Effective Date

07/01/2024

Expiration Date

05/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

MASSACHUSETTS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026