STEPHANIE ELLEN COLLAZO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304946

License Status

NOT RENEWED

Business

First Name

STEPHANIE ELLEN

Last Name

COLLAZO

Business Name

STEPHANIE ELLEN COLLAZO

Original Issue Date

08/19/1997

Effective Date

08/19/1997

Expiration Date

05/31/1998

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006