SUSAN J KIRK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087739

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KIRK

Business Name

SUSAN J KIRK

Original Issue Date

09/20/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BENTON

State

Zip

62812

Ever Disciplined

LastModifiedDate

10/15/2005