KEITH A HERSCHBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041327462

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

HERSCHBACH

Business Name

KEITH A HERSCHBACH

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

05/31/2004

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/09/2006