RICHARD M JACK Registered Nurse License verification

Business Entity

CANCELLED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053946

License Status

CANCELLED

Business

First Name

RICHARD M

Last Name

JACK

Business Name

RICHARD M JACK

Original Issue Date

01/13/1982

Expiration Date

01/31/1985

City

OMAHA

State

Zip

62871

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/21/2005