JACK E BAILEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238078

License Status

NOT RENEWED

Business

First Name

JACK E

Last Name

BAILEY

Business Name

JACK E BAILEY

Original Issue Date

09/15/1986

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021