ELOISE M MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009002

License Status

NOT RENEWED

Business

First Name

ELOISE M

Last Name

MACK

Business Name

ELOISE M MACK

Original Issue Date

01/29/1960

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/28/2019