VICKI A PENCAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082060

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

PENCAK

Business Name

VICKI A PENCAK

Original Issue Date

02/26/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005