MARY L BRACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064916

License Status

INACTIVE

Business

First Name

MARY L

Last Name

BRACK

Business Name

MARY L BRACK

Original Issue Date

10/02/1987

Expiration Date

01/31/1989

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005