MICHELLE S MATIAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300389

License Status

NOT RENEWED

Business

First Name

MICHELLE S

Last Name

MATIAK

Business Name

MICHELLE S MATIAK

Original Issue Date

09/30/1996

Effective Date

09/30/1996

Expiration Date

05/31/2000

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006