SUSAN MARIE WILLER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

WILLER

Business Name

SUSAN MARIE WILLER

Original Issue Date

07/28/2015

Effective Date

05/13/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/03/2024