JULIA ANN MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188258

License Status

NOT RENEWED

Business

First Name

JULIA ANN

Last Name

MACK

Business Name

JULIA ANN MACK

Original Issue Date

05/07/1979

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018