SUSAN GERVAIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222938

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

GERVAIS

Business Name

SUSAN GERVAIS

Original Issue Date

06/01/1984

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012