KEITH J LAVAZZA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041484608

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

LAVAZZA

Business Name

KEITH J LAVAZZA

Original Issue Date

08/21/2019

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

CREST HILL

State

Zip

60403

Ever Disciplined

LastModifiedDate

03/01/2026