SHANNON CARLSON POLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206433

License Status

NOT RENEWED

Business

First Name

SHANNON CARLSON

Last Name

POLAK

Business Name

SHANNON CARLSON POLAK

Original Issue Date

10/07/1981

Effective Date

10/07/1981

Expiration Date

05/31/1994

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006