KEN GABRIEL M DOVERTE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

KEN GABRIEL

Middle

Last Name

DOVERTE

Business Name

KEN GABRIEL M DOVERTE

Original Issue Date

04/15/2019

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021