JILL IRENE MADDACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300394

License Status

NOT RENEWED

Business

First Name

JILL IRENE

Last Name

MADDACK

Business Name

JILL IRENE MADDACK

Original Issue Date

10/01/1996

Effective Date

05/31/2012

Expiration Date

05/31/2014

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014