SR M PAULISSA PUISIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146077

License Status

INACTIVE

Business

First Name

SR M PAULISSA

Last Name

PUISIS

Business Name

SR M PAULISSA PUISIS

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006