MILDRED B MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036756

License Status

INACTIVE

Business

First Name

MILDRED B

Last Name

MACK

Business Name

MILDRED B MACK

Original Issue Date

01/30/1975

Expiration Date

01/31/1997

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005