VENUS LIEZL T BASNILLO-SAN DIEGO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015653

License Status

ACTIVE

Business

First Name

VENUS LIEZL

Middle

Last Name

BASNILLO-SAN DIEGO

Business Name

VENUS LIEZL T BASNILLO-SAN DIEGO

Original Issue Date

02/22/2017

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026