SUSAN T DIXON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DIXON

Business Name

SUSAN T DIXON

Original Issue Date

10/20/2011

Effective Date

06/23/2020

Expiration Date

08/31/2022

City

DAYTON

State

Zip

89403

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022