MARY K SAUSAMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054410

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SAUSAMAN

Business Name

MARY K SAUSAMAN

Original Issue Date

07/27/1982

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

10/15/2005