KELLE R HACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279718

License Status

NOT RENEWED

Business

First Name

KELLE R

Last Name

HACK

Business Name

KELLE R HACK

Original Issue Date

04/09/1994

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/11/2016