SUSAN M LATHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LATHE

Business Name

SUSAN M LATHE

Original Issue Date

07/06/2021

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

STERLING

State

Zip

61081

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026