SUSAN L GWODZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GWODZ

Business Name

SUSAN L GWODZ

Original Issue Date

03/09/2022

Effective Date

03/09/2022

Expiration Date

06/30/2024

City

TIMNATH

State

Zip

80547

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025