TRACIE D SUSSENBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090399

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

SUSSENBACH

Business Name

TRACIE D SUSSENBACH

Original Issue Date

10/07/2004

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MULBERRY GROVE

State

Zip

62262

Ever Disciplined

LastModifiedDate

03/17/2009