SUZANNE E WANG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

WANG

Business Name

SUZANNE E WANG

Original Issue Date

08/01/2001

Effective Date

05/09/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014