NameGRACE K WAKULCHIK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.05490-NS Clinical Nurse Specialist 12/10/1999 06/08/2015 08/31/2017 ACTIVE
RN.160828-1 Registered Nurse-1 Certificate of Authority 09/07/1979 06/08/2015 08/31/2017 ACTIVE Examination

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