JACK S DOLAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096468

License Status

INACTIVE

Business

First Name

JACK S

Last Name

DOLAN

Business Name

JACK S DOLAN

Original Issue Date

05/05/1960

Effective Date

05/05/1960

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2008