JACQUELINE MARIE KACICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417361

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

KACICH

Business Name

JACQUELINE MARIE KACICH

Original Issue Date

01/23/2014

Effective Date

01/23/2014

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014