SUSAN M LATHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023290

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LATHE

Business Name

SUSAN M LATHE

Original Issue Date

05/21/2021

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

STERLING

State

Zip

61081

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/04/2026