JOSEPH A POTACZEK

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041260197

NOT RENEWED

N

JOSEPH A

POTACZEK

JOSEPH A POTACZEK

10/06/1990

10/06/1990

05/31/2004

IL

Y

09/27/2006

2003002689

Probation

license restored to indefinite probation with work restrictions for a minimum of three years effective upon payment of fees, filing of forms, completion of continuing education and successful completion of NCLEX.