SUSAN MARIE FASIANG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175973

License Status

INACTIVE

Business

First Name

SUSAN MARIE

Last Name

FASIANG

Business Name

SUSAN MARIE FASIANG

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/01/1982

City

WEST MILWAUKEE

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006