NORMAN N MACK - Registered Nurse License in Arizona | # 043089733

NORMAN N MACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089733

License Status

NOT RENEWED

Business

N

First Name

NORMAN

Middle

N

Last Name

MACK

Business Name

NORMAN N MACK

Original Issue Date

04/22/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

AZ

Ever Disciplined

Y

LastModifiedDate

10/21/2005

Case Number

2003007066

Action

Reprimand

Discipline Start Date

01/12/2004

Discipline Reason

Disciplined in Arizona.