ANGELA SUE MASSUTTI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

SUE

Last Name

MASSUTTI

Business Name

ANGELA SUE MASSUTTI

Original Issue Date

01/03/2017

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/08/2020