CZAMIRA ALBA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

CZAMIRA

Last Name

ALBA

Business Name

CZAMIRA ALBA

Original Issue Date

08/09/2016

Effective Date

04/23/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022