ANNA M POLNOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100619

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

POLNOW

Business Name

ANNA M POLNOW

BusinessDBA

KLUMP

Original Issue Date

10/12/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2009