SUSAN K SANTISTEVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052195

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

SANTISTEVAN

Business Name

SUSAN K SANTISTEVAN

Original Issue Date

06/05/1981

Effective Date

11/20/2013

Expiration Date

01/31/2015

City

WILSONVILLE

State

Zip

62093

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/09/2015