DONNA M PUCIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150856

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

PUCIN

Business Name

DONNA M PUCIN

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/2002

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006