LYDIA ANN MACK - Registered Nurse License in Illinois | # 041171010

LYDIA ANN MACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171010

License Status

INACTIVE

Business

N

First Name

LYDIA ANN

Last Name

MACK

Business Name

LYDIA ANN MACK

Original Issue Date

11/01/1976

Effective Date

03/25/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012