SUZANNE W BASALIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178547

License Status

NOT RENEWED

Business

First Name

SUZANNE W

Last Name

BASALIK

Business Name

SUZANNE W BASALIK

Original Issue Date

11/07/1977

Effective Date

11/07/1977

Expiration Date

05/01/1982

City

GLENDALE HEIGHTS

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006