COLLEEN MARIE PTACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182814

License Status

NOT RENEWED

Business

First Name

COLLEEN MARIE

Last Name

PTACK

Business Name

COLLEEN MARIE PTACK

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/2008

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008