SUSAN MAE MOYLAN 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 MAE

Last Name

MOYLAN

Business Name

SUSAN MAE MOYLAN

Original Issue Date

05/08/2008

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021