GRACE A PIENTOK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059926

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

PIENTOK

Business Name

GRACE A PIENTOK

Original Issue Date

01/14/1985

Expiration Date

01/31/1989

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005