ANDREW J BUSJAHN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100870

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

BUSJAHN

Business Name

ANDREW J BUSJAHN

Original Issue Date

11/16/2005

Effective Date

01/22/2013

Expiration Date

01/31/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/09/2015