LISA J GUZMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

GUZMAN

Business Name

LISA J GUZMAN

Original Issue Date

03/29/2006

Effective Date

12/10/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2025