SUSAN THOMA RAUCKMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062914

License Status

INACTIVE

Business

First Name

SUSAN

Middle

THOMA

Last Name

RAUCKMAN

Business Name

SUSAN THOMA RAUCKMAN

Original Issue Date

03/11/1986

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005