JACK EDWARD LAWRENCE - Registered Nurse License in Illinois | # 041192879

JACK EDWARD LAWRENCE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192879

License Status

INACTIVE

Business

N

First Name

JACK EDWARD

Last Name

LAWRENCE

Business Name

JACK EDWARD LAWRENCE

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006