JACINTA L HARTZOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221239

License Status

INACTIVE

Business

First Name

JACINTA L

Last Name

HARTZOG

Business Name

JACINTA L HARTZOG

Original Issue Date

12/08/1983

Effective Date

12/08/1983

Expiration Date

05/31/1994

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006