MARILYN F FLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013330

License Status

INACTIVE

Business

First Name

MARILYN F

Last Name

FLACK

Business Name

MARILYN F FLACK

Original Issue Date

04/14/1965

Effective Date

11/29/2010

Expiration Date

01/31/2013

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/08/2012