DOMINIQUE KUCZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114084

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Last Name

KUCZEK

Business Name

DOMINIQUE KUCZEK

Original Issue Date

12/23/2011

Effective Date

12/23/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60631

Ever Disciplined

LastModifiedDate

03/20/2013