JACK EDWARD REEVES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341682

License Status

INACTIVE

Business

First Name

JACK

Middle

EDWARD

Last Name

REEVES

Business Name

JACK EDWARD REEVES

Original Issue Date

08/09/2004

Effective Date

08/09/2004

Expiration Date

05/31/2006

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006