MARY ANN WALCZAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127528

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

WALCZAK

Business Name

MARY ANN WALCZAK

Original Issue Date

09/04/1968

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012