SUZANNE HERRERA PHIPPS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

HERRERA

Last Name

PHIPPS

Business Name

SUZANNE HERRERA PHIPPS

Original Issue Date

04/25/2008

Effective Date

08/20/2022

Expiration Date

06/30/2024

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

02/05/2025