SUSAN JANE MODLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174116

License Status

NOT RENEWED

Business

First Name

SUSAN JANE

Last Name

MODLIN

Business Name

SUSAN JANE MODLIN

Original Issue Date

05/09/1977

Effective Date

05/09/1977

Expiration Date

05/31/1996

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006