COLLEEN F SURRATT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144894

License Status

INACTIVE

Business

First Name

COLLEEN F

Last Name

SURRATT

Business Name

COLLEEN F SURRATT

Original Issue Date

09/29/1972

Effective Date

07/24/2020

Expiration Date

08/31/2022

City

ACWORTH

State

Zip

30101

County

PEORIA

Ever Disciplined

LastModifiedDate

05/29/2022