SUSAN M LATHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LATHE

Business Name

SUSAN M LATHE

Original Issue Date

04/11/2023

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/02/2026