NASTASSIA MARIE GURGANUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

NASTASSIA

Middle

MARIE

Last Name

GURGANUS

Business Name

NASTASSIA MARIE GURGANUS

Original Issue Date

11/20/2013

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021