ERSEL H CLUCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009555

License Status

INACTIVE

Business

First Name

ERSEL H

Last Name

CLUCK

Business Name

ERSEL H CLUCK

Original Issue Date

01/26/1961

Expiration Date

05/01/1982

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/21/2005