SUSAN B NANKIN 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

Middle

Last Name

NANKIN

Business Name

SUSAN B NANKIN

Original Issue Date

01/02/2007

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2012