ESRA KEZBAN JOZWIAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

ESRA

Middle

KEZBAN

Last Name

JOZWIAK

Business Name

ESRA KEZBAN JOZWIAK

Original Issue Date

12/06/2019

Effective Date

12/06/2019

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60169

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021