PENNY L HAZAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269755

License Status

NOT RENEWED

Business

First Name

PENNY L

Last Name

HAZAN

Business Name

PENNY L HAZAN

Original Issue Date

09/28/1992

Effective Date

06/23/2020

Expiration Date

08/31/2022

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022