MARTIN ROBERT HEVESY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

ROBERT

Last Name

HEVESY

Business Name

MARTIN ROBERT HEVESY

Original Issue Date

07/09/2015

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

MILWAUKEE

State

Zip

53211

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022