DIANA LOU VIZCAYNO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

DIANA

Middle

LOU

Last Name

VIZCAYNO

Business Name

DIANA LOU VIZCAYNO

Original Issue Date

10/04/2017

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026