SUSAN D BROADWAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234206

License Status

NOT RENEWED

Business

First Name

SUSAN D

Last Name

BROADWAY

Business Name

SUSAN D BROADWAY

Original Issue Date

12/05/1985

Effective Date

05/15/2022

Expiration Date

06/30/2024

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025