PATRICIA CAROL MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174942

License Status

INACTIVE

Business

First Name

PATRICIA CAROL

Last Name

MACK

Business Name

PATRICIA CAROL MACK

Original Issue Date

10/12/1977

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012