SUSAN D KOSS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062155

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

KOSS

Business Name

SUSAN D KOSS

Original Issue Date

01/10/1986

Effective Date

11/03/2004

Expiration Date

01/31/2005

City

SIDELL

State

Zip

61876

Ever Disciplined

LastModifiedDate

10/15/2005