SUSAN M HAZLETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017585

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

HAZLETT

Business Name

SUSAN M HAZLETT

Original Issue Date

05/04/2018

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

SAINT PARIS

State

Zip

43072

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2020