EZIAHA R GEORGEWILL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

EZIAHA

Middle

Last Name

GEORGEWILL

Business Name

EZIAHA R GEORGEWILL

Original Issue Date

03/01/2022

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026