HERMENIA ROSE BOUCEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019860

License Status

INACTIVE

Business

First Name

HERMENIA ROSE

Last Name

BOUCEK

Business Name

HERMENIA ROSE BOUCEK

Original Issue Date

06/22/1967

Expiration Date

01/31/1989

City

AIKEN

State

Zip

29801

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

10/21/2005