JEROME R MULCONNERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061169

License Status

NOT RENEWED

Business

First Name

JEROME R

Last Name

MULCONNERY

Business Name

JEROME R MULCONNERY

Original Issue Date

04/16/1985

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005