J SUSANNE WIRTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174271

License Status

NOT RENEWED

Business

First Name

J SUSANNE

Last Name

WIRTH

Business Name

J SUSANNE WIRTH

Original Issue Date

06/03/1977

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022