MILDRED M KLOCKENGA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041064378

License Status

INACTIVE

Business

First Name

MILDRED M

Last Name

KLOCKENGA

Business Name

MILDRED M KLOCKENGA

Original Issue Date

05/23/1949

Effective Date

05/23/1949

Expiration Date

05/31/1990

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006