CAROL LYNN RADOVICH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

LYNN

Last Name

RADOVICH

Business Name

CAROL LYNN RADOVICH

Original Issue Date

12/10/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021