SUSAN L PUCALIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055810

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

PUCALIK

Business Name

SUSAN L PUCALIK

Original Issue Date

02/23/1983

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005