JACQUELINE M DZIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071719

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

DZIK

Business Name

JACQUELINE M DZIK

Original Issue Date

01/01/1997

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012