MARY L TATICEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056121

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

TATICEK

Business Name

MARY L TATICEK

Original Issue Date

02/23/1983

Expiration Date

01/31/1989

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005