BOHDAN KONTSEVYY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

BOHDAN

Last Name

KONTSEVYY

Business Name

BOHDAN KONTSEVYY

Original Issue Date

02/13/2020

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

PORTAGE

State

Zip

46368

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2024