KAREN M BUSSONE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

KAREN M

Last Name

BUSSONE

Business Name

KAREN M BUSSONE

Original Issue Date

11/27/2002

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2022