SUSAN L LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102635

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

LARSEN

Business Name

SUSAN L LARSEN

Original Issue Date

04/02/1962

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2010