SUSAN M LATHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LATHE

Business Name

SUSAN M LATHE

Original Issue Date

10/17/2025

Effective Date

10/17/2025

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026