SUE A BOUCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101350

License Status

INACTIVE

Business

First Name

SUE A

Last Name

BOUCK

Business Name

SUE A BOUCK

Original Issue Date

12/27/1961

Effective Date

12/27/1961

Expiration Date

05/31/2002

City

WINDSOR

State

Zip

61957

County

SHELBY

Ever Disciplined

LastModifiedDate

10/09/2006