SR MARY GENEROSE SIEPAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015770

License Status

INACTIVE

Business

First Name

SR MARY GENEROSE

Last Name

SIEPAK

Business Name

SR MARY GENEROSE SIEPAK

Original Issue Date

09/02/1966

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005