FIONA CAMILLE HAEUSER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

FIONA

Middle

CAMILLE

Last Name

HAEUSER

Business Name

FIONA CAMILLE HAEUSER

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021