IVENE B POLK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008493

License Status

NOT RENEWED

Business

First Name

IVENE B

Last Name

POLK

Business Name

IVENE B POLK

Original Issue Date

04/02/1959

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005