SANDRA PENCAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041263606

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

PENCAK

Business Name

SANDRA PENCAK

Original Issue Date

09/24/1991

Effective Date

09/24/1991

Expiration Date

05/31/1998

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006