ROBERTA J KUKOLICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124309

License Status

INACTIVE

Business

First Name

ROBERTA J

Last Name

KUKOLICH

Business Name

ROBERTA J KUKOLICH

Original Issue Date

12/04/1967

Effective Date

12/04/1967

City

GLENWOOD

State

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006