JACK R THIEL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111210

License Status

INACTIVE

Business

First Name

JACK R

Last Name

THIEL

Business Name

JACK R THIEL

Original Issue Date

10/09/1964

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2014