PAUL S HAVRILKA III Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****70

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

HAVRILKA III

Business Name

PAUL S HAVRILKA III

Original Issue Date

09/13/2019

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

03/19/2026