SUSAN L HITZEROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090084

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

HITZEROTH

Business Name

SUSAN L HITZEROTH

Original Issue Date

08/20/2004

Effective Date

01/03/2011

Expiration Date

01/31/2013

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/20/2013