EVELYN M JACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014931

License Status

INACTIVE

Business

First Name

EVELYN M

Last Name

JACK

Business Name

EVELYN M JACK

Original Issue Date

05/04/1966

Expiration Date

01/31/1999

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/27/2005