GRACE M DZIUBAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041069093

License Status

NOT RENEWED

Business

First Name

GRACE M

Last Name

DZIUBAK

Business Name

GRACE M DZIUBAK

Original Issue Date

04/02/1951

Effective Date

04/02/1951

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006