MARY K PUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041181309

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

PUCH

Business Name

MARY K PUCH

Original Issue Date

06/06/1978

Effective Date

12/30/2010

Expiration Date

05/31/2012

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012