JENNIFER L BACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041416580

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BACK

Business Name

JENNIFER L BACK

Original Issue Date

11/27/2013

Effective Date

05/13/2018

Expiration Date

09/30/2020

City

CLEARWATER

State

Zip

33761

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021