SUSAN LAUREA DIERKSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343293

License Status

INACTIVE

Business

First Name

SUSAN

Middle

LAUREA

Last Name

DIERKSEN

Business Name

SUSAN LAUREA DIERKSEN

Original Issue Date

10/15/2004

Effective Date

04/17/2012

Expiration Date

05/31/2014

City

GLEASON

State

Zip

54435

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2014