JOSEPH A POTACZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260197

License Status

NOT RENEWED

Business

First Name

JOSEPH A

Last Name

POTACZEK

Business Name

JOSEPH A POTACZEK

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

05/31/2004

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2003002689

Action

Suspension

Discipline Start Date

03/17/2005

Discipline Reason

Violated the terms and conditions of previously imposed probation.