SUSAN MARY HELLERUDE BORCHARDT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARY

Last Name

HELLERUDE BORCHARDT

Business Name

SUSAN MARY HELLERUDE BORCHARDT

Original Issue Date

10/15/2015

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022