SUSAN J BIGHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BIGHAM

Business Name

SUSAN J BIGHAM

Original Issue Date

04/01/2014

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021