DENA R BOUCKAERT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299608

License Status

NOT RENEWED

Business

First Name

DENA R

Last Name

BOUCKAERT

Business Name

DENA R BOUCKAERT

Original Issue Date

09/03/1996

Effective Date

04/16/2010

Expiration Date

05/31/2012

City

ARNOLD

State

Zip

63010

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/10/2012