TERESITA J KLUMAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087574

License Status

NOT RENEWED

Business

First Name

TERESITA

Middle

Last Name

KLUMAK

Business Name

TERESITA J KLUMAK

Original Issue Date

08/16/2002

Effective Date

06/29/2020

Expiration Date

09/30/2020

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021