GWENDOLYN J SACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083333

License Status

NOT RENEWED

Business

First Name

GWENDOLYN J

Last Name

SACK

Business Name

GWENDOLYN J SACK

Original Issue Date

12/20/1955

Effective Date

12/20/1955

City

MISHAWAKA

State

Zip

46546

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006