SUSAN MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163456

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

MOSS

Business Name

SUSAN MOSS

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/01/1982

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006