DEYAN R ORTWIG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

DEYAN

Middle

Last Name

ORTWIG

Business Name

DEYAN R ORTWIG

Original Issue Date

02/07/2002

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2020