KENNETH T LAZARO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

LAZARO

Business Name

KENNETH T LAZARO

Original Issue Date

09/20/2017

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026