SUSAN PATRICIA POPHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147295

License Status

NOT RENEWED

Business

First Name

SUSAN PATRICIA

Last Name

POPHAM

Business Name

SUSAN PATRICIA POPHAM

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

LANSING

State

Zip

48910

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006