| Name | SANDRA LYNN ZAKEM |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.073070- | Licensed Practical Nurse | 09/28/1984 | 08/31/1986 | LAPSED | Endorsement | ||||||||||