MARY L PUCHALSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PUCHALSKI

Business Name

MARY L PUCHALSKI

Original Issue Date

10/10/2008

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018