TREVOR ALAN SUYAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

TREVOR

Middle

ALAN

Last Name

SUYAK

Business Name

TREVOR ALAN SUYAK

Original Issue Date

01/17/2025

Effective Date

01/17/2025

Expiration Date

05/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026