SUSAN CLARKE PAVLICK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009636

License Status

INACTIVE

Business

First Name

SUSAN

Middle

CLARKE

Last Name

PAVLICK

Business Name

SUSAN CLARKE PAVLICK

Original Issue Date

07/16/2012

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

03/14/2018