GINA MARIE DIZON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

GINA

Middle

MARIE

Last Name

DIZON

Business Name

GINA MARIE DIZON

Original Issue Date

09/25/2018

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025