ULEETA LYNN STASIAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036950

License Status

NOT RENEWED

Business

First Name

ULEETA LYNN

Last Name

STASIAK

Business Name

ULEETA LYNN STASIAK

Original Issue Date

03/11/1975

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005