SUSAN MARY FACKLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188977

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

FACKLER

Business Name

SUSAN MARY FACKLER

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

05/01/1982

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/27/2006