CARISSA T SUYDAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043127605

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

Last Name

SUYDAM

Business Name

CARISSA T SUYDAM

Original Issue Date

08/15/2019

Effective Date

08/15/2019

Expiration Date

01/31/2021

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

03/11/2021