JENNIFER JANE BACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047561

License Status

INACTIVE

Business

First Name

JENNIFER JANE

Last Name

BACK

Business Name

JENNIFER JANE BACK

Original Issue Date

10/19/1979

Expiration Date

05/01/1982

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005