DERRIL L MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070078

License Status

NOT RENEWED

Business

First Name

DERRIL

Middle

Last Name

MACK

Business Name

DERRIL L MACK

Original Issue Date

05/30/1991

Effective Date

01/13/2009

Expiration Date

01/31/2011

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/24/2018

Case Number

2010010035

Action

Refuse To Renew

Discipline Start Date

02/10/2011

Discipline End Date

05/23/2018

Discipline Reason

for being more than 30 days delinquent in the payment of child support.