SUSAN ELLIN JORDAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

SUSAN ELLIN

Last Name

JORDAN

Business Name

SUSAN ELLIN JORDAN

Original Issue Date

09/15/2003

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

BISMARCK

State

Zip

61814

County

VERMILION

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026