DONNA M HAVLICEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340274

License Status

INACTIVE

Business

First Name

DONNA

Middle

Last Name

HAVLICEK

Business Name

DONNA M HAVLICEK

Original Issue Date

06/14/2004

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014