SUZANA HAMBLOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

SUZANA

Last Name

HAMBLOCK

Business Name

SUZANA HAMBLOCK

Original Issue Date

10/21/2020

Effective Date

06/10/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026