CYNTHIA RUTH KUKACHKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139723

License Status

NOT RENEWED

Business

First Name

CYNTHIA RUTH

Last Name

KUKACHKA

Business Name

CYNTHIA RUTH KUKACHKA

Original Issue Date

07/06/1971

Effective Date

07/06/1971

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006