ANGELA M JACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044124

License Status

NOT RENEWED

Business

First Name

ANGELA M

Last Name

JACK

Business Name

ANGELA M JACK

Original Issue Date

04/11/1978

Expiration Date

01/31/1989

City

MEDIA

State

Zip

61460

County

HENDERSON

Ever Disciplined

LastModifiedDate

10/21/2005