SUSAN GAIL HAINES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199926

License Status

NOT RENEWED

Business

First Name

SUSAN GAIL

Last Name

HAINES

Business Name

SUSAN GAIL HAINES

Original Issue Date

11/17/1980

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018