SUSAN ELIZABETH DVORAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045088

License Status

NOT RENEWED

Business

First Name

SUSAN ELIZABETH

Last Name

DVORAK

Business Name

SUSAN ELIZABETH DVORAK

Original Issue Date

01/10/1979

Expiration Date

05/01/1982

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005