BEVERLY L PONULAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074220

License Status

INACTIVE

Business

First Name

BEVERLY L

Last Name

PONULAK

Business Name

BEVERLY L PONULAK

Original Issue Date

12/22/1993

Expiration Date

01/31/1995

City

PLAINFIELD

State

Zip

60544

Ever Disciplined

LastModifiedDate

10/21/2005