License holder summary

SUSAN C FACKLAM is a Registered Professional Nurse licensed to practice in Illinois. The address on file for SUSAN C FACKLAM is GRAYSLAKE, IL 60030. This nurses license is not current. The license was granted 10/30/1990 and expired on 05/31/2012.

Department of Financial and Professional Regulation

Board of Nursing

SUSAN C FACKLAM
Registered Professional Nurse
License number
041260607
Date granted
10/30/1990
Date expires
05/31/2012
Class
Registered Professional Nurse
Status
Not Renewed
Address
GRAYSLAKE, IL 60030
illinoisnursing.org
ID 24651052
LAST UPDATED 2024-02-19 13:09:20 UTC

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