M JENINE SPACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041098568

License Status

INACTIVE

Business

First Name

M JENINE

Last Name

SPACK

Business Name

M JENINE SPACK

Original Issue Date

12/14/1960

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CAMBRIDGE

State

Zip

53523

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2010