SUSAN W HOLMBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013610

License Status

NOT RENEWED

Business

First Name

SUSAN W

Last Name

HOLMBERG

Business Name

SUSAN W HOLMBERG

Original Issue Date

06/25/1965

Expiration Date

01/31/1999

City

ROCKFORD

State

Zip

61108

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/27/2005