SUSAN FERGERSTROM - Registered Nurse License in Missouri | # 041112060

SUSAN FERGERSTROM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112060

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Last Name

FERGERSTROM

Business Name

SUSAN FERGERSTROM

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2004

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006