SISTER MARY AGNE PENCAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038680

License Status

INACTIVE

Business

First Name

SISTER MARY AGNE

Last Name

PENCAK

Business Name

SISTER MARY AGNE PENCAK

Original Issue Date

01/23/1940

Effective Date

01/23/1940

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006