SUSAN LYNN COPP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

COPP

Business Name

SUSAN LYNN COPP

Original Issue Date

09/11/2012

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021