SUSAN FERGERSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112060

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

FERGERSTROM

Business Name

SUSAN FERGERSTROM

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2004

City

NIXA

State

Zip

65714

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006