PAHROUL E DAVE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

PAHROUL

Middle

Last Name

DAVE

Business Name

PAHROUL E DAVE

Original Issue Date

09/23/2016

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/02/2022