SUSAN W WICKSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134306

License Status

INACTIVE

Business

First Name

SUSAN W

Last Name

WICKSTROM

Business Name

SUSAN W WICKSTROM

Original Issue Date

01/13/1970

Effective Date

01/13/1970

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006