MARY J PELKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090255

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PELKA

Business Name

MARY J PELKA

Original Issue Date

09/16/2004

Effective Date

12/13/2004

Expiration Date

01/31/2007

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

03/16/2007