MICHELE P PUTALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090479

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

PUTALA

Business Name

MICHELE P PUTALA

Original Issue Date

10/15/2004

Effective Date

10/15/2004

Expiration Date

01/31/2007

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

03/16/2007