SUSAN O TAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270608

License Status

NOT RENEWED

Business

First Name

SUSAN O

Last Name

TAN

Business Name

SUSAN O TAN

Original Issue Date

10/05/1992

Effective Date

10/05/1992

Expiration Date

05/31/1996

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006