KEN GABRIEL M DOVERTE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

KEN GABRIEL

Middle

Last Name

DOVERTE

Business Name

KEN GABRIEL M DOVERTE

Original Issue Date

02/07/2020

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026