SR M LUCILLA KEROUAC Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041054201

License Status

INACTIVE

Business

First Name

SR M LUCILLA

Last Name

KEROUAC

Business Name

SR M LUCILLA KEROUAC

Original Issue Date

07/10/1946

Effective Date

07/10/1946

Expiration Date

05/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006