AGNES T MAMIC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125428

License Status

NOT RENEWED

Business

First Name

AGNES T

Last Name

MAMIC

Business Name

AGNES T MAMIC

Original Issue Date

03/29/1968

Effective Date

04/01/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012