ELIZABETH A DOLAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082541

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

DOLAK

Business Name

ELIZABETH A DOLAK

Original Issue Date

12/01/1955

Effective Date

12/01/1955

Expiration Date

05/31/1996

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006