SUZANNE M STANFORD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

STANFORD

Business Name

SUZANNE M STANFORD

Original Issue Date

05/21/2002

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021