SUZELLA JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010411

License Status

INACTIVE

Business

First Name

SUZELLA

Last Name

JOHNSON

Business Name

SUZELLA JOHNSON

Original Issue Date

04/02/1962

Effective Date

12/06/2010

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/08/2012