ELAINE C REVAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129850

License Status

NOT RENEWED

Business

First Name

ELAINE C

Last Name

REVAK

Business Name

ELAINE C REVAK

Original Issue Date

01/31/1969

Effective Date

01/31/1969

Expiration Date

05/31/2000

City

GREELEY

State

Zip

80634

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2006