EVELYN M CZERNIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102927

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

CZERNIK

Business Name

EVELYN M CZERNIK

Original Issue Date

12/29/2006

Effective Date

01/28/2009

Expiration Date

01/31/2011

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

03/10/2011