SUSIE M AVERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

SUSIE M

Last Name

AVERY

Business Name

SUSIE M AVERY

Original Issue Date

10/19/2018

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

03/02/2026