SUSAN E MASSEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MASSEY

Business Name

SUSAN E MASSEY

Original Issue Date

05/19/2010

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/10/2012