SUZANNA RACHEL KYULULE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020053

License Status

NOT RENEWED

Business

First Name

SUZANNA

Middle

RACHEL

Last Name

KYULULE

Business Name

SUZANNA RACHEL KYULULE

Original Issue Date

09/18/2019

Effective Date

08/19/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61104

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/05/2025