TERRY L GRONCKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162608

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

GRONCKI

Business Name

TERRY L GRONCKI

Original Issue Date

10/24/1975

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018