VIVIAN J SPACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018146

License Status

INACTIVE

Business

First Name

VIVIAN J

Last Name

SPACH

Business Name

VIVIAN J SPACH

Original Issue Date

01/24/1967

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

10/21/2005