MA VANESSA S MABAZZA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

MA VANESSA

Middle

Last Name

MABAZZA

Business Name

MA VANESSA S MABAZZA

Original Issue Date

07/23/2018

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026