SUSAN ELIZABETH ALDEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELIZABETH

Last Name

ALDEN

Business Name

SUSAN ELIZABETH ALDEN

Original Issue Date

11/02/2005

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021