VENUS LIEZL T BASNILLO-SAN DIEGO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

VENUS LIEZL

Middle

Last Name

BASNILLO-SAN DIEGO

Business Name

VENUS LIEZL T BASNILLO-SAN DIEGO

Original Issue Date

03/20/2019

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60641

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026