SUSAN COLLAZO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

COLLAZO

Business Name

SUSAN COLLAZO

Original Issue Date

04/13/2016

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026