SR M A BRZOSOTOWICZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015492

License Status

NOT RENEWED

Business

First Name

SR M A

Last Name

BRZOSOTOWICZ

Business Name

SR M A BRZOSOTOWICZ

Original Issue Date

09/02/1966

Expiration Date

01/31/1997

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005