SUZANNE E LANGE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

LANGE

Business Name

SUZANNE E LANGE

Original Issue Date

09/22/2011

Effective Date

06/05/2018

Expiration Date

09/30/2020

City

EDINA

State

Zip

55439

County

COOK

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021