JEAN A WAAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065866

License Status

INACTIVE

Business

First Name

JEAN

Middle

Last Name

WAAK

Business Name

JEAN A WAAK

Original Issue Date

07/20/1988

Effective Date

02/03/2005

Expiration Date

01/31/2005

City

SUMMERVILLE

State

Zip

29485

Ever Disciplined

LastModifiedDate

10/15/2005