NATALIE TAMARA AUTENZIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029560

License Status

ACTIVE

Business

First Name

NATALIE

Middle

TAMARA

Last Name

AUTENZIO

Business Name

NATALIE TAMARA AUTENZIO

Original Issue Date

04/15/2024

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026