ELLEN M LISAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190407

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

LISAK

Business Name

ELLEN M LISAK

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1992

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006