JACKIE J MCENTIRE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104236

License Status

INACTIVE

Business

First Name

JACKIE J

Last Name

MCENTIRE

Business Name

JACKIE J MCENTIRE

Original Issue Date

11/09/1962

Effective Date

04/10/2012

Expiration Date

05/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014