SUSAN CLARKE PAVLICK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INACTIVE

Business

First Name

SUSAN

Middle

CLARKE

Last Name

PAVLICK

Business Name

SUSAN CLARKE PAVLICK

Original Issue Date

01/28/2013

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

03/14/2018