SUSAN B LARSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104714

License Status

INACTIVE

Business

First Name

SUSAN B

Last Name

LARSON

Business Name

SUSAN B LARSON

Original Issue Date

11/29/1962

Effective Date

11/29/1962

Expiration Date

05/31/2004

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006