SR M PROVIDENCIA LAZARSKA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041043050

License Status

INACTIVE

Business

First Name

SR M PROVIDENCIA

Last Name

LAZARSKA

Business Name

SR M PROVIDENCIA LAZARSKA

Original Issue Date

01/20/1942

Effective Date

01/20/1942

Expiration Date

05/31/1986

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006