SUSAN THOMA RAUCKMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007010

License Status

INACTIVE

Business

First Name

SUSAN

Middle

THOMA

Last Name

RAUCKMAN

Business Name

SUSAN THOMA RAUCKMAN

Original Issue Date

03/05/2008

Effective Date

03/16/2020

Expiration Date

05/31/2022

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/16/2020