MARY ELLEN PERSAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016218

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

PERSAK

Business Name

MARY ELLEN PERSAK

Original Issue Date

09/16/1966

Expiration Date

01/31/1997

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005