ZACHERY D BEEZHOLD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

ZACHERY

Middle

Last Name

BEEZHOLD

Business Name

ZACHERY D BEEZHOLD

Original Issue Date

01/10/2023

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026