HERMENIA ROSE BOUCEK - Registered Nurse License in South Carolina | # 043019860

HERMENIA ROSE BOUCEK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019860

License Status

INACTIVE

Business

N

First Name

HERMENIA ROSE

Last Name

BOUCEK

Business Name

HERMENIA ROSE BOUCEK

Original Issue Date

06/22/1967

Expiration Date

01/31/1989

State

SC

Ever Disciplined

N

LastModifiedDate

10/21/2005