ANDREA M ZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041327651

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

ZAK

Business Name

ANDREA M ZAK

Original Issue Date

11/07/2001

Effective Date

11/07/2001

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2008