SUSAN ANNE ICENOGLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182562

License Status

NOT RENEWED

Business

First Name

SUSAN ANNE

Last Name

ICENOGLE

Business Name

SUSAN ANNE ICENOGLE

Original Issue Date

10/16/1978

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

WATERLOO

State

Zip

62298

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/19/2018