SUSAN C LOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LOCK

Business Name

SUSAN C LOCK

Original Issue Date

08/05/2013

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

DECATUR

State

Zip

62526

County

BOND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026