SUZETTE A ASTELL-RICHARDSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

SUZETTE A

Last Name

ASTELL-RICHARDSON

Business Name

SUZETTE A ASTELL-RICHARDSON

Original Issue Date

11/09/2018

Effective Date

08/28/2022

Expiration Date

05/31/2024

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024