SUSAN FULLER KENEIPP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217656

License Status

INACTIVE

Business

First Name

SUSAN

Last Name

FULLER KENEIPP

Business Name

SUSAN FULLER KENEIPP

Original Issue Date

11/08/1983

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/05/2010