JACQUELINE M HERDKLOTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116668

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

HERDKLOTZ

Business Name

JACQUELINE M HERDKLOTZ

Original Issue Date

02/02/1966

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012