MILLICENT A JACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041521262

License Status

NOT RENEWED

Business

First Name

MILLICENT

Middle

Last Name

JACK

Business Name

MILLICENT A JACK

Original Issue Date

02/16/2022

Effective Date

06/30/2022

Expiration Date

06/30/2024

City

CASSELBERRY

State

Zip

32707

Ever Disciplined

LastModifiedDate

02/05/2025