DALLAS L LIBKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041483611

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

Last Name

LIBKA

Business Name

DALLAS L LIBKA

Original Issue Date

08/02/2019

Effective Date

05/27/2022

Expiration Date

06/30/2024

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

02/05/2025