RANDY C KUKLINSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064775

License Status

NOT RENEWED

Business

First Name

RANDY C

Last Name

KUKLINSKI

Business Name

RANDY C KUKLINSKI

Original Issue Date

06/27/1987

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/17/2009

Case Number

2002004344

Action

Probation

Discipline Start Date

09/24/2003

Discipline End Date

09/23/2006

Discipline Reason

Consumed alcoholic beverages on the job, and due to criminal convictions for domestic battery and driving under the influence.