SUSAN THOMA RAUCKMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

SUSAN

Middle

THOMA

Last Name

RAUCKMAN

Business Name

SUSAN THOMA RAUCKMAN

Original Issue Date

03/20/2008

Effective Date

03/17/2020

Expiration Date

05/31/2022

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/16/2020