SUE A VALENTINE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

SUE A

Last Name

VALENTINE

Business Name

SUE A VALENTINE

Original Issue Date

10/09/2008

Effective Date

09/10/2020

Expiration Date

08/31/2022

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022