SUZANNE M BRUBAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102664

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

BRUBAKER

Business Name

SUZANNE M BRUBAKER

Original Issue Date

04/02/1962

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012