MAGNOLIA N MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172594

License Status

NOT RENEWED

Business

First Name

MAGNOLIA N

Last Name

MACK

Business Name

MAGNOLIA N MACK

Original Issue Date

03/07/1977

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016