MARJORIE KUKETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012177

License Status

INACTIVE

Business

First Name

MARJORIE

Last Name

KUKETZ

Business Name

MARJORIE KUKETZ

Original Issue Date

04/21/1964

City

LIVINGSTON

State

Zip

62058

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005