SUSAN MARY HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148872

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

HERZOG

Business Name

SUSAN MARY HERZOG

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/2004

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006