LAUREL J KISCELLUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101714

License Status

INACTIVE

Business

First Name

LAUREL J

Last Name

KISCELLUS

Business Name

LAUREL J KISCELLUS

Original Issue Date

01/22/1962

Effective Date

01/22/1962

Expiration Date

05/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006