GRANT N KLICEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258332

License Status

INACTIVE

Business

First Name

GRANT N

Last Name

KLICEK

Business Name

GRANT N KLICEK

Original Issue Date

09/07/1990

Effective Date

08/13/2018

Expiration Date

09/30/2020

City

DEMOTTE

State

Zip

46310

County

INDIANA

Ever Disciplined

LastModifiedDate

03/08/2020