TERRAH KOPPIE GAVRILOS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

TERRAH

Middle

KOPPIE

Last Name

GAVRILOS

Business Name

TERRAH KOPPIE GAVRILOS

Original Issue Date

03/25/2019

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021