MICHELE P PUTALA - Registered Nurse License in Illinois | # 043090479

MICHELE P PUTALA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090479

License Status

NOT RENEWED

Business

N

First Name

MICHELE

Middle

P

Last Name

PUTALA

Business Name

MICHELE P PUTALA

Original Issue Date

10/15/2004

Effective Date

10/15/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007