SUSAN R BOGARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084193

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BOGARD

Business Name

SUSAN R BOGARD

Original Issue Date

10/18/1999

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

10/15/2005