SUSANNA MARIE RUDY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

SUSANNA

Middle

MARIE

Last Name

RUDY

Business Name

SUSANNA MARIE RUDY

Original Issue Date

10/16/2025

Effective Date

10/16/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026