MARY B KAPUSTKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006613

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

KAPUSTKA

Business Name

MARY B KAPUSTKA

Original Issue Date

01/21/1955

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005