KELLY A KACZMARZEWSKI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086411

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

KACZMARZEWSKI

Business Name

KELLY A KACZMARZEWSKI

Original Issue Date

08/23/2001

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2005