Kathleen W Miccucio
InactiveIllinois license 041029932
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041029932
- Status
- Inactive
- First issued
- May 3, 1951
- Expired
- May 31, 2004
- License holder
- Kathleen W Miccucio
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/03/1951
Contact
Chicago, IL 60634
Cook County