SUSAN ASIBAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160870

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

ASIBAL

Business Name

SUSAN ASIBAL

Original Issue Date

05/06/1975

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/16/2010