STEPHANIE A FAZLIBASIC Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017770

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

FAZLIBASIC

Business Name

STEPHANIE A FAZLIBASIC

Original Issue Date

06/06/2018

Effective Date

08/07/2022

Expiration Date

05/31/2024

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/03/2024