LESLIE A HAVRILAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307798

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

HAVRILAK

Business Name

LESLIE A HAVRILAK

Original Issue Date

03/03/1998

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018