JACK LEE SMITH - Registered Nurse License in Illinois | # 043028884

JACK LEE SMITH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028884

License Status

NOT RENEWED

Business

N

First Name

JACK LEE

Last Name

SMITH

Business Name

JACK LEE SMITH

Original Issue Date

06/29/1971

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005