MARY ELLEN KUBICA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141309

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

KUBICA

Business Name

MARY ELLEN KUBICA

Original Issue Date

09/29/1971

Effective Date

04/06/2010

Expiration Date

05/31/2012

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012