STEPHANIE L KOUBA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041400672

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

KOUBA

Business Name

STEPHANIE L KOUBA

Original Issue Date

04/04/2012

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018