SUSAN MARY WIDHALM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149233

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

WIDHALM

Business Name

SUSAN MARY WIDHALM

Original Issue Date

06/05/1973

Effective Date

06/05/1973

Expiration Date

05/31/1994

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006