KUSUMA W JOHNSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203451

License Status

NOT RENEWED

Business

First Name

KUSUMA

Middle

Last Name

JOHNSEN

Business Name

KUSUMA W JOHNSEN

Original Issue Date

09/16/1981

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014