HAZEL F ACACIO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

HAZEL

Middle

Last Name

ACACIO

Business Name

HAZEL F ACACIO

Original Issue Date

12/30/2020

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2024