AMY R JACK - Registered Nurse License in Illinois | # 041365494

AMY R JACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365494

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

R

Last Name

JACK

Business Name

AMY R JACK

Original Issue Date

12/28/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010