CARLA V COLLAZO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116080

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

Last Name

COLLAZO

Business Name

CARLA V COLLAZO

Original Issue Date

11/19/2012

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017