SUSAN E NIEZGODA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

NIEZGODA

Business Name

SUSAN E NIEZGODA

Original Issue Date

02/07/2003

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

04/10/2018