SUSANNAH N DINTZIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

SUSANNAH N

Last Name

DINTZIS

Business Name

SUSANNAH N DINTZIS

Original Issue Date

03/19/2019

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026