SUSANNE CAMPBELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

SUSANNE

Last Name

CAMPBELL

Business Name

SUSANNE CAMPBELL

Original Issue Date

04/13/2012

Effective Date

05/04/2020

Expiration Date

08/31/2022

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022