JOHANNA DOROTHY NOWACKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041434499

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

DOROTHY

Last Name

NOWACKI

Business Name

JOHANNA DOROTHY NOWACKI

Original Issue Date

08/27/2015

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

CLIFTON PARK

State

Zip

12065

Ever Disciplined

LastModifiedDate

01/14/2021