SUTERA GONSUVON MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172209

License Status

INACTIVE

Business

First Name

SUTERA GONSUVON

Last Name

MARTIN

Business Name

SUTERA GONSUVON MARTIN

Original Issue Date

12/10/1976

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012