DOROTHY JEAN MIKUCKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149155

License Status

NOT RENEWED

Business

First Name

DOROTHY JEAN

Last Name

MIKUCKI

Business Name

DOROTHY JEAN MIKUCKI

Original Issue Date

06/05/1973

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021