KEITH D BUZA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023609

License Status

INACTIVE

Business

First Name

KEITH

Middle

Last Name

BUZA

Business Name

KEITH D BUZA

Original Issue Date

07/15/2021

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/16/2024