GINA MARIE DIZON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

DIZON

Business Name

GINA MARIE DIZON

Original Issue Date

03/22/2023

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026