THOMAS CHRISTIAN MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124990

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

CHRISTIAN

Last Name

MACK

Business Name

THOMAS CHRISTIAN MACK

Original Issue Date

12/05/2017

Effective Date

01/07/2019

Expiration Date

01/31/2021

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2021