SUSAN L FERGUSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061915

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

FERGUSON

Business Name

SUSAN L FERGUSON

Original Issue Date

12/05/1985

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009