KATHLEEN W MICCUCIO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041029932

License Status

INACTIVE

Business

First Name

KATHLEEN W

Last Name

MICCUCIO

Business Name

KATHLEEN W MICCUCIO

Original Issue Date

05/03/1951

Effective Date

05/03/1951

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006