SUSAN K STORK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270422

License Status

INACTIVE

Business

First Name

SUSAN K

Last Name

STORK

Business Name

SUSAN K STORK

Original Issue Date

09/29/1992

Effective Date

09/29/1992

Expiration Date

05/31/2000

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

08/03/2018