SALLY A BOURQUE LAYCSAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041287951

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

BOURQUE LAYCSAK

Business Name

SALLY A BOURQUE LAYCSAK

Original Issue Date

04/05/1995

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021