SUZANNE M DECKER 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

SUZANNE

Middle

Last Name

DECKER

Business Name

SUZANNE M DECKER

Original Issue Date

10/23/2009

Effective Date

09/01/2022

Expiration Date

06/30/2024

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025