KEITH D BUZA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

INACTIVE

Business

First Name

KEITH

Middle

Last Name

BUZA

Business Name

KEITH D BUZA

Original Issue Date

06/25/2022

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024