SISTER MARY CUSACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037767

License Status

NOT RENEWED

Business

First Name

SISTER MARY

Last Name

CUSACK

Business Name

SISTER MARY CUSACK

Original Issue Date

10/17/1975

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005