THERESE M POLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175431

License Status

NOT RENEWED

Business

First Name

THERESE M

Last Name

POLAK

Business Name

THERESE M POLAK

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/2008

City

BEAVERTON

State

Zip

97006

County

OREGON

Ever Disciplined

LastModifiedDate

07/11/2008