SUSAN LATHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041197794

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

LATHAM

Business Name

SUSAN LATHAM

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2008