PHYLISS D KLUCH - Registered Nurse License in Illinois | # 041123209

PHYLISS D KLUCH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123209

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012