SUSAN M EGGERTSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088512

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

EGGERTSEN

Business Name

SUSAN M EGGERTSEN

Original Issue Date

05/27/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TUNNEL HILL

State

Zip

62972

Ever Disciplined

LastModifiedDate

10/21/2005