MYRA A JACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241453

License Status

ACTIVE

Business

First Name

MYRA A

Last Name

JACK

Business Name

MYRA A JACK

Original Issue Date

04/30/1987

Effective Date

05/27/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/28/2026