SUSAN E WILTFANG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062906

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

WILTFANG

Business Name

SUSAN E WILTFANG

Original Issue Date

03/11/1986

Effective Date

01/16/2015

Expiration Date

01/31/2017

City

KENTLAND

State

Zip

47951

County

INDIANA

Ever Disciplined

LastModifiedDate

11/10/2016