MARTHA M KOUKOL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099376

License Status

INACTIVE

Business

First Name

MARTHA M

Last Name

KOUKOL

Business Name

MARTHA M KOUKOL

Original Issue Date

04/03/1961

Effective Date

04/03/1961

Expiration Date

05/31/1996

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006