PENNA J MICHALCZYK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105052

License Status

NOT RENEWED

Business

First Name

PENNA J

Last Name

MICHALCZYK

Business Name

PENNA J MICHALCZYK

Original Issue Date

12/18/1962

Effective Date

12/18/1962

Expiration Date

05/31/2000

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006