SUSAN M GRISSOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063033

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

GRISSOM

Business Name

SUSAN M GRISSOM

Original Issue Date

05/05/1986

Expiration Date

01/31/1989

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005