CHERYL D SLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182616

License Status

NOT RENEWED

Business

First Name

CHERYL D

Last Name

SLACK

Business Name

CHERYL D SLACK

Original Issue Date

10/16/1978

Effective Date

04/27/2016

Expiration Date

05/31/2018

City

VALPARISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018