TERESE A KUBAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240577

License Status

NOT RENEWED

Business

First Name

TERESE A

Last Name

KUBAT

Business Name

TERESE A KUBAT

Original Issue Date

03/13/1987

Effective Date

04/05/2012

Expiration Date

05/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014