SUSAN K GERGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067017

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

GERGEN

Business Name

SUSAN K GERGEN

Original Issue Date

04/05/1989

Expiration Date

01/31/1993

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005