THERESA JACK - Registered Nurse License in Illinois | # 043024862

THERESA JACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024862

License Status

NOT RENEWED

Business

N

First Name

THERESA

Last Name

JACK

Business Name

THERESA JACK

Original Issue Date

04/01/1969

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005