KEITH A HERSCHBACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081841

License Status

INACTIVE

Business

First Name

KEITH

Middle

Last Name

HERSCHBACH

Business Name

KEITH A HERSCHBACH

Original Issue Date

12/18/1997

Effective Date

11/06/2002

Expiration Date

01/31/2003

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/15/2005