ETHEL M POLK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031689

License Status

INACTIVE

Business

First Name

ETHEL

Middle

Last Name

POLK

Business Name

ETHEL M POLK

Original Issue Date

11/14/1972

Effective Date

12/28/2012

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

11/07/2014