SUSIE A GONZALEZ-LAZAREVIC Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

SUSIE

Middle

Last Name

GONZALEZ-LAZAREVIC

Business Name

SUSIE A GONZALEZ-LAZAREVIC

Original Issue Date

12/11/2020

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

NORRIDGE

State

Zip

60706

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026