CAROL L DZIAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107494

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

DZIAK

Business Name

CAROL L DZIAK

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/1988

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006