MARY SUSAN CAMPBELL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INOPERATIVE

Business

First Name

MARY

Middle

SUSAN

Last Name

CAMPBELL

Business Name

MARY SUSAN CAMPBELL

Original Issue Date

11/20/2017

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/08/2020