SUZANNA RACHEL KYULULE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INOPERATIVE

Business

First Name

SUZANNA

Middle

RACHEL

Last Name

KYULULE

Business Name

SUZANNA RACHEL KYULULE

Original Issue Date

12/10/2019

Effective Date

08/19/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/03/2024