SUSANNA R COOK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090704

License Status

NOT RENEWED

Business

First Name

SUSANNA

Middle

Last Name

COOK

Business Name

SUSANNA R COOK

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

01/31/2007

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/16/2007