STEPHEN W DOLAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296405

License Status

NOT RENEWED

Business

First Name

STEPHEN W

Last Name

DOLAK

Business Name

STEPHEN W DOLAK

Original Issue Date

04/23/1996

Effective Date

04/23/2018

Expiration Date

09/30/2020

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021