SUSAN I BARHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118005

License Status

INACTIVE

Business

First Name

SUSAN I

Last Name

BARHAM

Business Name

SUSAN I BARHAM

Original Issue Date

08/03/1966

Effective Date

05/28/2008

Expiration Date

05/31/2010

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/05/2010