SUSAN C FAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024551

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

FAGAN

Business Name

SUSAN C FAGAN

Original Issue Date

01/30/1969

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005