SUSAN L WALLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065034

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

WALLIN

Business Name

SUSAN L WALLIN

Original Issue Date

12/15/1987

Effective Date

01/07/2009

Expiration Date

01/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/10/2011