EZIAHA R GEORGEWILL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021912

License Status

ACTIVE

Business

First Name

EZIAHA

Middle

Last Name

GEORGEWILL

Business Name

EZIAHA R GEORGEWILL

Original Issue Date

08/31/2020

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026