NICOLE LISA BRAZG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LISA

Last Name

BRAZG

Business Name

NICOLE LISA BRAZG

Original Issue Date

04/23/2020

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60654

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026