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*****25

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

11/21/2002

Expiration Date

05/31/2004

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006