PATRICIA A SUPANCIC Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051583

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

SUPANCIC

Business Name

PATRICIA A SUPANCIC

Original Issue Date

01/08/1981

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/30/2008