SUSAN L BLENSDORF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BLENSDORF

Business Name

SUSAN L BLENSDORF

Original Issue Date

03/24/2011

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021