EVELYN MARIE KLOCKE - Registered Nurse License in West Virginia | # 041169395

EVELYN MARIE KLOCKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169395

License Status

NOT RENEWED

Business

N

First Name

EVELYN MARIE

Last Name

KLOCKE

Business Name

EVELYN MARIE KLOCKE

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2000

State

WV

Ever Disciplined

N

LastModifiedDate

09/27/2006