SHIRA G KAZZAZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INOPERATIVE

Business

First Name

SHIRA

Middle

Last Name

KAZZAZ

Business Name

SHIRA G KAZZAZ

Original Issue Date

09/12/2018

Effective Date

09/12/2018

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020