SUSAN B SPHAR Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

Last Name

SPHAR

Business Name

SUSAN B SPHAR

Original Issue Date

06/19/2001

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2024