SUSAN M HAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269406

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

HAGEN

Business Name

SUSAN M HAGEN

Original Issue Date

09/23/1992

Effective Date

04/06/2010

Expiration Date

05/31/2012

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

07/10/2012