MAMIE L OPOLKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020334

License Status

NOT RENEWED

Business

First Name

MAMIE L

Last Name

OPOLKA

Business Name

MAMIE L OPOLKA

Original Issue Date

06/28/1967

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005