GIAN L SLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101217

License Status

NOT RENEWED

Business

First Name

GIAN

Middle

Last Name

SLACK

Business Name

GIAN L SLACK

Original Issue Date

01/26/2006

Effective Date

12/20/2010

Expiration Date

01/31/2013

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/20/2013