KIZZIE L GORSUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083270

License Status

NOT RENEWED

Business

First Name

KIZZIE

Middle

Last Name

GORSUCH

Business Name

KIZZIE L GORSUCH

Original Issue Date

12/28/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

10/15/2005