ANNE R MIKALIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088700

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

MIKALIK

Business Name

ANNE R MIKALIK

Original Issue Date

08/11/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005