SUSAN T SORUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044150

License Status

NOT RENEWED

Business

First Name

SUSAN T

Last Name

SORUM

Business Name

SUSAN T SORUM

Original Issue Date

04/11/1978

Expiration Date

01/31/1987

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005