FAY V BROCIEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076441

License Status

INACTIVE

Business

First Name

FAY V

Last Name

BROCIEK

Business Name

FAY V BROCIEK

Original Issue Date

12/15/1953

Effective Date

12/15/1953

Expiration Date

05/31/1984

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006