SHIRA G KAZZAZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

SHIRA

Middle

Last Name

KAZZAZ

Business Name

SHIRA G KAZZAZ

Original Issue Date

09/07/2017

Effective Date

06/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026