JENNIFER JANE BACK - Registered Nurse License in Illinois | # 043047561

JENNIFER JANE BACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047561

License Status

INACTIVE

Business

N

First Name

JENNIFER JANE

Last Name

BACK

Business Name

JENNIFER JANE BACK

Original Issue Date

10/19/1979

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005