SUSAN J MACK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MACK

Business Name

SUSAN J MACK

Original Issue Date

12/09/2009

Effective Date

05/04/2016

Expiration Date

05/31/2018

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

07/19/2018