CAROLYN S BOUCEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125147

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

BOUCEK

Business Name

CAROLYN S BOUCEK

Original Issue Date

03/01/1968

Effective Date

03/01/1968

Expiration Date

05/31/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006