AMELIA C BULAKLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041268378

License Status

NOT RENEWED

Business

First Name

AMELIA C

Last Name

BULAKLAK

Business Name

AMELIA C BULAKLAK

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

05/31/2004

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006