SUSAN M HAZLETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

HAZLETT

Business Name

SUSAN M HAZLETT

Original Issue Date

10/25/2018

Effective Date

10/25/2018

Expiration Date

09/30/2020

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

03/08/2020