KEITH VINCENT KULCZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119229

License Status

NOT RENEWED

Business

First Name

KEITH VINCENT

Last Name

KULCZAK

Business Name

KEITH VINCENT KULCZAK

Original Issue Date

08/13/2014

Effective Date

02/23/2015

Expiration Date

01/31/2017

City

PLAINFIED

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

03/27/2017