SUSAN M GRYZMALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091294

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GRYZMALA

Business Name

SUSAN M GRYZMALA

Original Issue Date

04/12/2005

Effective Date

11/26/2012

Expiration Date

01/31/2015

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

03/09/2015