SUSAN L FAIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041247725

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

FAIR

Business Name

SUSAN L FAIR

Original Issue Date

06/07/1988

Effective Date

06/07/1988

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006