CASSONDRA GRAHOVAC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

CASSONDRA

Last Name

GRAHOVAC

Business Name

CASSONDRA GRAHOVAC

BusinessDBA

CASSONDRA RUKES

Original Issue Date

01/22/2021

Effective Date

01/22/2021

Expiration Date

08/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022