SANDRA J PUCLIK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141565

License Status

INACTIVE

Business

First Name

SANDRA J

Last Name

PUCLIK

Business Name

SANDRA J PUCLIK

Original Issue Date

09/29/1971

Effective Date

03/28/2014

Expiration Date

05/31/2016

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

03/16/2016