SUSAN C SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042435

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SPARKS

Business Name

SUSAN C SPARKS

Original Issue Date

09/12/1977

Expiration Date

01/31/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005