SUSAN EAPEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192012

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

EAPEN

Business Name

SUSAN EAPEN

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/01/1982

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/27/2006