PHYLISS D KLUCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123209

License Status

INACTIVE

Business

First Name

PHYLISS D

Last Name

KLUCH

Business Name

PHYLISS D KLUCH

Original Issue Date

10/02/1967

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/08/2012