SUSAN ELAINE GROH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043974

License Status

NOT RENEWED

Business

First Name

SUSAN ELAINE

Last Name

GROH

Business Name

SUSAN ELAINE GROH

Original Issue Date

02/14/1978

Expiration Date

01/31/1985

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005