LARISSA A LAZZARI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087620

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

Last Name

LAZZARI

Business Name

LARISSA A LAZZARI

Original Issue Date

08/26/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

10/15/2005