KATHLEEN A IVANCICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205251

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

IVANCICH

Business Name

KATHLEEN A IVANCICH

Original Issue Date

10/08/1981

Effective Date

05/13/2016

Expiration Date

05/31/2018

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018