CANDICE LEA MCCULLOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170374

License Status

NOT RENEWED

Business

First Name

CANDICE LEA

Last Name

MCCULLOCH

Business Name

CANDICE LEA MCCULLOCH

Original Issue Date

11/01/1976

Effective Date

05/29/2022

Expiration Date

06/30/2024

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2025