AVIS J POLASIK - Registered Nurse License in Illinois | # 043022039

AVIS J POLASIK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022039

License Status

INACTIVE

Business

N

First Name

AVIS J

Last Name

POLASIK

Business Name

AVIS J POLASIK

Original Issue Date

12/22/1967

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005