SUSAN C FACKLAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067020

License Status

INACTIVE

Business

First Name

SUSAN C

Last Name

FACKLAM

Business Name

SUSAN C FACKLAM

Original Issue Date

04/11/1989

Expiration Date

01/31/1991

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005