LYDIA A BRUCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041483919

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

Last Name

BRUCK

Business Name

LYDIA A BRUCK

Original Issue Date

08/08/2019

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022