PATRYCJA C MAZUR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

PATRYCJA

Middle

Last Name

MAZUR

Business Name

PATRYCJA C MAZUR

Original Issue Date

03/20/2014

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2024