GUS G POTEKIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022041

License Status

NOT RENEWED

Business

First Name

GUS G

Last Name

POTEKIN

Business Name

GUS G POTEKIN

Original Issue Date

12/22/1967

Expiration Date

01/31/1993

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005