CHRISTINE J DOMINIK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089561

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

DOMINIK

Business Name

CHRISTINE J DOMINIK

Original Issue Date

02/06/2004

Effective Date

02/01/2005

Expiration Date

01/31/2005

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005