SUSAN R SWANSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SWANSON

Business Name

SUSAN R SWANSON

Original Issue Date

04/01/2016

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021