LESLIE A HAVRILAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076909

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

HAVRILAK

Business Name

LESLIE A HAVRILAK

Original Issue Date

12/24/1994

Expiration Date

01/31/1999

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2005