MARY C DOMINIAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162807

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

DOMINIAK

Business Name

MARY C DOMINIAK

Original Issue Date

10/24/1975

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021