MARTHA DIANNE KOLACEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165404

License Status

NOT RENEWED

Business

First Name

MARTHA DIANNE

Last Name

KOLACEK

Business Name

MARTHA DIANNE KOLACEK

Original Issue Date

01/06/1976

Effective Date

01/06/1976

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006