Richard M Jack
InactiveIllinois license 043053946
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 043053946
- Status
- Inactive (Cancelled)
- First issued
- January 13, 1982
- Expired
- January 31, 1985
- License holder
- Richard M Jack
- Entity type
- Individual
Classifications
- Licensed Practical Nurse (Nursing Board) Nursing
More from the license record
- Ever disciplined
- Yes
Other Illinois licenses under this name
-
IL
ExpiredEldorado, ILExpired May 31, 2018
Contact
Omaha, IL 62871
Gallatin County