PENNY RALL MARZALIK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

RALL

Last Name

MARZALIK

Business Name

PENNY RALL MARZALIK

Original Issue Date

08/18/2006

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012