SUSAN L BORK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

BORK

Business Name

SUSAN L BORK

Original Issue Date

09/25/2024

Effective Date

09/25/2024

Expiration Date

05/31/2026

City

SCHAUMBURG

State

Zip

60195

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026