SUSAN A KORF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

KORF

Business Name

SUSAN A KORF

Original Issue Date

03/09/2010

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021