ETHEL J DWORAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116266

License Status

NOT RENEWED

Business

First Name

ETHEL J

Last Name

DWORAK

Business Name

ETHEL J DWORAK

Original Issue Date

12/15/1965

Effective Date

03/28/2014

Expiration Date

05/31/2016

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

07/11/2016