STEPHANIE A FAZLIBASIC - Advanced Practice Nurse License in Illinois | # 209017770

STEPHANIE A FAZLIBASIC

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017770

License Status

INACTIVE

Business

N

First Name

STEPHANIE

Middle

A

Last Name

FAZLIBASIC

Business Name

STEPHANIE A FAZLIBASIC

Original Issue Date

06/06/2018

Effective Date

08/07/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

03/03/2024