SUSAN L KOEPPE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

KOEPPE

Business Name

SUSAN L KOEPPE

Original Issue Date

09/25/2002

Effective Date

05/04/2020

Expiration Date

08/31/2022

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022