SUSAN RUTH BLOSSER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RUTH

Last Name

BLOSSER

Business Name

SUSAN RUTH BLOSSER

Original Issue Date

05/25/2017

Effective Date

05/25/2017

Expiration Date

05/31/2018

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/19/2018