VIRGINIA L HAREZLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041106849

License Status

NOT RENEWED

Business

First Name

VIRGINIA L

Last Name

HAREZLAK

Business Name

VIRGINIA L HAREZLAK

Original Issue Date

08/28/1963

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021