GRACE C WASTAK - Registered Nurse License in Illinois | # 041249502

GRACE C WASTAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041249502

License Status

INACTIVE

Business

N

First Name

GRACE C

Last Name

WASTAK

Business Name

GRACE C WASTAK

Original Issue Date

09/27/1988

Effective Date

09/27/1988

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006