SUSAN R HENNEMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075890

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

HENNEMANN

Business Name

SUSAN R HENNEMANN

Original Issue Date

08/05/1994

Effective Date

01/30/2009

Expiration Date

01/31/2011

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/10/2011