ELLEN WALICZEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034528

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

WALICZEK

Business Name

ELLEN WALICZEK

Original Issue Date

02/22/1974

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005