SUSAN A TAPHORN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119776

License Status

INACTIVE

Business

First Name

SUSAN A

Last Name

TAPHORN

Business Name

SUSAN A TAPHORN

Original Issue Date

11/07/1966

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014