KEITH A HERSCHBACH - Registered Nurse License in Illinois | # 043081841

KEITH A HERSCHBACH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081841

License Status

INACTIVE

Business

N

First Name

KEITH

Middle

A

Last Name

HERSCHBACH

Business Name

KEITH A HERSCHBACH

Original Issue Date

12/18/1997

Effective Date

11/06/2002

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005