SUSAN K ALLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

SUSAN K

Last Name

ALLEN

Business Name

SUSAN K ALLEN

Original Issue Date

09/08/2008

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

LOAMI

State

Zip

62661

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026