SUSAN M LATHE 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

LATHE

Business Name

SUSAN M LATHE

Original Issue Date

02/16/2024

Effective Date

02/16/2024

Expiration Date

06/30/2024

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

02/05/2025