DEWAYNE W MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064807

License Status

NOT RENEWED

Business

First Name

DEWAYNE W

Last Name

MACK

Business Name

DEWAYNE W MACK

Original Issue Date

07/29/1987

Expiration Date

01/31/1989

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005