BARBARA RANDOLPH MCKISSIC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166047

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

RANDOLPH

Last Name

MCKISSIC

Business Name

BARBARA RANDOLPH MCKISSIC

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

05/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006