KEZIA PHILIPS 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

KEZIA

Last Name

PHILIPS

Business Name

KEZIA PHILIPS

Original Issue Date

02/21/2019

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026