JUDITH M CONCKLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041088199

License Status

NOT RENEWED

Business

First Name

JUDITH M

Last Name

CONCKLIN

Business Name

JUDITH M CONCKLIN

Original Issue Date

11/12/1957

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012