SUSAN KATHERINE COLLINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

SUSAN

Middle

KATHERINE

Last Name

COLLINS

Business Name

SUSAN KATHERINE COLLINS

Original Issue Date

06/05/2025

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026