SUSAN H LEBAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041181028

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

LEBAK

Business Name

SUSAN H LEBAK

Original Issue Date

05/08/1978

Effective Date

04/22/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022