ZUZANA J KILLAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

ZUZANA

Middle

Last Name

KILLAM

Business Name

ZUZANA J KILLAM

Original Issue Date

09/12/2022

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/28/2025