JOSEPH A KUSSATZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

KUSSATZ

Business Name

JOSEPH A KUSSATZ

Original Issue Date

01/31/2018

Effective Date

03/20/2020

Expiration Date

08/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022