SUZANNA J FAVELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065907

License Status

NOT RENEWED

Business

First Name

SUZANNA J

Last Name

FAVELL

Business Name

SUZANNA J FAVELL

Original Issue Date

06/18/1988

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005