LARRY J MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446618

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

MACK

Business Name

LARRY J MACK

Original Issue Date

09/23/2016

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

DAYTON

State

Zip

45431

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021