SUSAN IVANICH - Registered Nurse License in Illinois | # 041123419

SUSAN IVANICH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123419

License Status

INACTIVE

Business

N

First Name

SUSAN

Last Name

IVANICH

Business Name

SUSAN IVANICH

Original Issue Date

10/02/1967

Effective Date

10/02/1967

Expiration Date

05/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006