BARBARA MACK MAINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143839

License Status

INACTIVE

Business

First Name

BARBARA MACK

Last Name

MAINE

Business Name

BARBARA MACK MAINE

Original Issue Date

06/07/1972

Effective Date

06/07/1972

Expiration Date

05/31/1996

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006