HENRIETTA JEANET MIODUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234677

License Status

NOT RENEWED

Business

First Name

HENRIETTA JEANET

Last Name

MIODUCH

Business Name

HENRIETTA JEANET MIODUCH

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

05/31/1986

City

MASCOUTAH

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006