KATHY L BEROUSEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070667

License Status

INACTIVE

Business

First Name

KATHY

Middle

Last Name

BEROUSEK

Business Name

KATHY L BEROUSEK

Original Issue Date

01/16/1992

Effective Date

12/03/2004

Expiration Date

01/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005