JACK B DANIEL Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297009

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

DANIEL

Business Name

JACK B DANIEL

Original Issue Date

06/05/1996

Effective Date

02/28/2026

Expiration Date

05/31/2028

City

KENOSHA

State

Zip

53143

Ever Disciplined

LastModifiedDate

02/28/2026