SUE ELLEN STAKER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258916

License Status

INACTIVE

Business

First Name

SUE ELLEN

Last Name

STAKER

Business Name

SUE ELLEN STAKER

Original Issue Date

09/29/1990

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

05/04/2022