EMILEE BESS HEAD LAZO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

EMILEE

Middle

BESS HEAD

Last Name

LAZO

Business Name

EMILEE BESS HEAD LAZO

Original Issue Date

03/17/2017

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021