RUTH E MIRZA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

RUTH E

Last Name

MIRZA

Business Name

RUTH E MIRZA

Original Issue Date

06/04/2013

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026