DAVID E KLOCKENKEMPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111804

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KLOCKENKEMPER

Business Name

DAVID E KLOCKENKEMPER

Original Issue Date

12/07/2010

Effective Date

12/07/2010

Expiration Date

01/31/2013

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

03/20/2013