LYDIA A BRUCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123133

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

Last Name

BRUCK

Business Name

LYDIA A BRUCK

Original Issue Date

09/20/2016

Effective Date

11/21/2018

Expiration Date

01/31/2021

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2021