MARY E WALCZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193969

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

WALCZAK

Business Name

MARY E WALCZAK

Original Issue Date

12/10/1979

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/14/2022