SUSAN PAYNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150172

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

PAYNE

Business Name

SUSAN PAYNE

Original Issue Date

10/03/1973

Effective Date

10/03/1973

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006