KENNETH W VAN DYKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341078

License Status

INACTIVE

Business

First Name

KENNETH

Middle

Last Name

VAN DYKE

Business Name

KENNETH W VAN DYKE

Original Issue Date

07/21/2004

Effective Date

06/05/2008

Expiration Date

05/31/2010

City

MORTON

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/05/2010