SUSAN M BENDER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BENDER

Business Name

SUSAN M BENDER

Original Issue Date

06/22/2010

Effective Date

05/03/2022

Expiration Date

06/30/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025