AGATA E TOMCZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115170

License Status

NOT RENEWED

Business

First Name

AGATA

Middle

Last Name

TOMCZAK

Business Name

AGATA E TOMCZAK

Original Issue Date

08/09/2012

Effective Date

01/02/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015