Name | EDWINA J KLIMEK |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
PN.018477-M-IV | Licensed Practical Nurse - M-IV | 04/20/1962 | 09/01/2004 | 08/31/2006 | INACTIVE | (Unknown) |