IVAYLO M GRAMATIKOV Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

IVAYLO

Middle

Last Name

GRAMATIKOV

Business Name

IVAYLO M GRAMATIKOV

Original Issue Date

10/10/2013

Effective Date

04/15/2014

Expiration Date

05/31/2016

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/18/2014