BONITA A POTASIAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010110

License Status

INACTIVE

Business

First Name

BONITA A

Last Name

POTASIAK

Business Name

BONITA A POTASIAK

Original Issue Date

09/21/1961

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010