SUZANNE T MCCOY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

MCCOY

Business Name

SUZANNE T MCCOY

Original Issue Date

10/12/2010

Effective Date

10/12/2010

Expiration Date

05/31/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2012