SUSAN E MASSEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

MASSEY

Business Name

SUSAN E MASSEY

Original Issue Date

08/17/2001

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026