CAROLYN A SHACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266107

License Status

NOT RENEWED

Business

First Name

CAROLYN A

Last Name

SHACK

Business Name

CAROLYN A SHACK

Original Issue Date

04/15/1992

Effective Date

04/15/1992

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006