SUSAN M EIKSTADT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036328

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

EIKSTADT

Business Name

SUSAN M EIKSTADT

Original Issue Date

01/30/1975

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2009

Case Number

2001002917

Action

Probation

Discipline Start Date

05/07/2002

Discipline End Date

05/06/2005

Discipline Reason

Repeatedly called in prescriptions for hydrocodone to a pharmacy for self-use without a physician's authorization.