VICKI L MASOLAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193709

License Status

INACTIVE

Business

First Name

VICKI L

Last Name

MASOLAK

Business Name

VICKI L MASOLAK

Original Issue Date

11/08/1979

Effective Date

11/08/1979

Expiration Date

05/31/1994

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006