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*****92

License Status

INACTIVE

Business

First Name

SWATI

Middle

Last Name

BAVISI

Business Name

SWATI A BAVISI

Original Issue Date

08/15/2007

Effective Date

08/15/2007

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008