JEAN ANNE DZIELAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205718

License Status

INACTIVE

Business

First Name

JEAN ANNE

Last Name

DZIELAK

Business Name

JEAN ANNE DZIELAK

Original Issue Date

10/08/1981

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2022