CARLENE M BOETTC MAZUC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046702

License Status

NOT RENEWED

Business

First Name

CARLENE M BOETTC

Last Name

MAZUC

Business Name

CARLENE M BOETTC MAZUC

Original Issue Date

02/20/1979

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005