ANNA M K FORTELKA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041032215

License Status

INACTIVE

Business

First Name

ANNA M K

Last Name

FORTELKA

Business Name

ANNA M K FORTELKA

Original Issue Date

01/09/1937

Effective Date

01/09/1937

Expiration Date

05/31/1984

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/27/2006