SUSAN M DAVIS 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

Middle

Last Name

DAVIS

Business Name

SUSAN M DAVIS

Original Issue Date

11/21/2002

Effective Date

05/06/2014

Expiration Date

05/31/2016

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016