MARY LEE MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046487

License Status

INACTIVE

Business

First Name

MARY LEE

Last Name

MACK

Business Name

MARY LEE MACK

Original Issue Date

01/26/1979

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/14/2018