DEBORAH D FAZZIO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166421

License Status

NOT RENEWED

Business

First Name

DEBORAH D

Last Name

FAZZIO

Business Name

DEBORAH D FAZZIO

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

05/31/2004

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1997000549

Action

Suspension

Discipline Start Date

09/24/2002

Discipline Reason

Self-reported that she had a relapse on Vicodin in violation of a previously imposed probation.