SUSAN C GANNON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223464

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

GANNON

Business Name

SUSAN C GANNON

Original Issue Date

09/12/1984

Effective Date

09/12/1984

Expiration Date

05/31/1986

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006