SUZANNE M BEITZEL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INOPERATIVE

Business

First Name

SUZANNE

Middle

Last Name

BEITZEL

Business Name

SUZANNE M BEITZEL

Original Issue Date

05/05/2017

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

03/08/2020