SUSAN DANCING STAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040701

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

DANCING STAR

Business Name

SUSAN DANCING STAR

Original Issue Date

02/02/1977

Effective Date

02/04/2023

Expiration Date

02/28/2025

City

WILLIAMSPORT

State

Zip

47993

County

INDIANA

Ever Disciplined

LastModifiedDate

05/08/2025