VIVIAN M PUFAHL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211398

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

PUFAHL

Business Name

VIVIAN M PUFAHL

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/2002

City

DONOVAN

State

Zip

60931

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006