MARY SUE LUNGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033309

License Status

NOT RENEWED

Business

First Name

MARY SUE

Last Name

LUNGSTROM

Business Name

MARY SUE LUNGSTROM

Original Issue Date

07/26/1973

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021