DOROTHY E PTAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062324

License Status

NOT RENEWED

Business

First Name

DOROTHY

Middle

Last Name

PTAK

Business Name

DOROTHY E PTAK

Original Issue Date

01/16/1986

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LAKEMOOR

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/15/2005