MARY J MACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105115

License Status

INACTIVE

Business

First Name

MARY J

Last Name

MACK

Business Name

MARY J MACK

Original Issue Date

12/18/1962

Effective Date

04/16/2012

Expiration Date

05/31/2014

City

RAVENSDALE

State

Zip

98051

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

03/06/2014