EARL MARK BACON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029461

License Status

INACTIVE

Business

First Name

EARL MARK

Last Name

BACON

Business Name

EARL MARK BACON

Original Issue Date

12/15/1971

City

FLINT

State

Zip

48507

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/21/2005