RICHARD M JACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227343

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

JACK

Business Name

RICHARD M JACK

Original Issue Date

11/14/1984

Effective Date

05/13/2016

Expiration Date

05/31/2018

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

07/19/2018