PHILIP K KMACK - Registered Nurse License in Illinois | # 041432161

PHILIP K KMACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041432161

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

K

Last Name

KMACK

Business Name

PHILIP K KMACK

Original Issue Date

07/14/2015

Effective Date

07/14/2015

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016