WANDA JARCZYK MITAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156437

License Status

INACTIVE

Business

First Name

WANDA JARCZYK

Last Name

MITAN

Business Name

WANDA JARCZYK MITAN

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/2006

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/09/2006