SUSAN A MACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002933

License Status

INACTIVE

Business

First Name

SUSAN A

Last Name

MACK

Business Name

SUSAN A MACK

Original Issue Date

07/12/2001

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

03/21/2018