SUSANNE LOUISE EDGREN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037556

License Status

NOT RENEWED

Business

First Name

SUSANNE LOUISE

Last Name

EDGREN

Business Name

SUSANNE LOUISE EDGREN

Original Issue Date

07/18/1975

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021