SUSAN M VER KUILEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348723

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

VER KUILEN

Business Name

SUSAN M VER KUILEN

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2008