SUSAN JANE MODLIN - Registered Nurse License in Indiana | # 041174116

SUSAN JANE MODLIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174116

License Status

NOT RENEWED

Business

N

First Name

SUSAN JANE

Last Name

MODLIN

Business Name

SUSAN JANE MODLIN

Original Issue Date

05/09/1977

Effective Date

05/09/1977

Expiration Date

05/31/1996

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006