KEITH A HERSCHBACH - Registered Nurse License in Illinois | # 041327462

KEITH A HERSCHBACH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041327462

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

A

Last Name

HERSCHBACH

Business Name

KEITH A HERSCHBACH

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006