LYDIA ANN MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171010

License Status

INACTIVE

Business

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

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012