NICOLE A MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110222

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MACK

Business Name

NICOLE A MACK

Original Issue Date

04/19/2010

Effective Date

01/21/2011

Expiration Date

01/31/2013

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/20/2013