SUSAN M BEDNAR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

BEDNAR

Business Name

SUSAN M BEDNAR

Original Issue Date

04/19/2002

Effective Date

05/18/2022

Expiration Date

05/31/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2022