JEREMIAH L JACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380426

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

Last Name

JACK

Business Name

JEREMIAH L JACK

Original Issue Date

10/16/2009

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014