AMY R JACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365494

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

JACK

Business Name

AMY R JACK

Original Issue Date

12/28/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ASHLEY

State

Zip

62808

County

WASHINGTON

Ever Disciplined

LastModifiedDate

08/16/2010