LEOTA MARIE PROKOP GAJDA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153062

License Status

INACTIVE

Business

First Name

LEOTA MARIE

Middle

PROKOP

Last Name

GAJDA

Business Name

LEOTA MARIE PROKOP GAJDA

Original Issue Date

12/14/1973

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2016