MICHAEL R KACEVICIUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042006

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

KACEVICIUS

Business Name

MICHAEL R KACEVICIUS

Original Issue Date

07/08/1977

Expiration Date

01/31/1991

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005