HOLLY L MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089660

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

MACK

Business Name

HOLLY L MACK

Original Issue Date

03/16/2004

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2013