AGNES THERESE STEPANICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148957

License Status

INACTIVE

Business

First Name

AGNES THERESE

Last Name

STEPANICH

Business Name

AGNES THERESE STEPANICH

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/1988

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006