LARRY L BACZURIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195580

License Status

NOT RENEWED

Business

First Name

LARRY L

Last Name

BACZURIK

Business Name

LARRY L BACZURIK

Original Issue Date

05/06/1980

Effective Date

05/06/1980

Expiration Date

05/01/1982

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006