SUSAN J JALACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223317

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

JALACK

Business Name

SUSAN J JALACK

Original Issue Date

08/06/1984

Effective Date

08/06/1984

Expiration Date

05/31/1988

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006