SUSAN K HIATT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046111

License Status

INACTIVE

Business

First Name

SUSAN K

Last Name

HIATT

Business Name

SUSAN K HIATT

Original Issue Date

01/26/1979

Expiration Date

01/31/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005