GRANT N KLICEK - Registered Nurse License in Indiana | # 041258332

GRANT N KLICEK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258332

License Status

INACTIVE

Business

N

First Name

GRANT N

Last Name

KLICEK

Business Name

GRANT N KLICEK

Original Issue Date

09/07/1990

Effective Date

08/13/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

03/08/2020