SWATI A BAVISI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INACTIVE

Business

First Name

SWATI

Middle

Last Name

BAVISI

Business Name

SWATI A BAVISI

Original Issue Date

01/13/2009

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014