SUSAN J MIKOVICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047210

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MIKOVICH

Business Name

SUSAN J MIKOVICH

Original Issue Date

07/13/1979

Effective Date

01/04/2011

Expiration Date

01/31/2013

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/07/2014