BOHDAN KONTSEVYY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

NOT RENEWED

Business

First Name

BOHDAN

Last Name

KONTSEVYY

Business Name

BOHDAN KONTSEVYY

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021