SUSAN J JACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219637

License Status

ACTIVE

Business

First Name

SUSAN J

Last Name

JACK

Business Name

SUSAN J JACK

Original Issue Date

11/08/1983

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026