SARAH MICHELLE KUZARA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MICHELLE

Last Name

KUZARA

Business Name

SARAH MICHELLE KUZARA

Original Issue Date

12/18/2020

Effective Date

12/18/2020

Expiration Date

08/31/2022

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022