SUSAN RUTH BLOSSER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RUTH

Last Name

BLOSSER

Business Name

SUSAN RUTH BLOSSER

Original Issue Date

05/25/2017

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

DES MOINES

State

Zip

50320

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021