SUSAN J LUTJENS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

Last Name

LUTJENS

Business Name

SUSAN J LUTJENS

Original Issue Date

07/24/2006

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/19/2012