DALLAS L LIBKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117613

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

Last Name

LIBKA

Business Name

DALLAS L LIBKA

Original Issue Date

09/17/2013

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

03/11/2021