MARK R DVORAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195058

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

DVORAK

Business Name

MARK R DVORAK

Original Issue Date

05/06/1980

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021