MAUREEN GAIL SURPRENANT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102712

License Status

NOT RENEWED

Business

First Name

MAUREEN

Middle

GAIL

Last Name

SURPRENANT

Business Name

MAUREEN GAIL SURPRENANT

Original Issue Date

04/02/1962

Effective Date

03/25/2010

Expiration Date

05/31/2012

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012