SUSAN A ROARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150237

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

ROARK

Business Name

SUSAN A ROARK

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/1990

City

ELLSINORE

State

Zip

63937

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006