LEORTRICE MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035646

License Status

INACTIVE

Business

First Name

LEORTRICE

Last Name

MACK

Business Name

LEORTRICE MACK

Original Issue Date

09/11/1974

Effective Date

12/20/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005