License holder summary

MADELINE JACK is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for MADELINE JACK is FARMINGTON, NM 87402. This nurse license is not current. The license was granted 04/13/1995 and expired on 01/31/2005.

Division of Occupational and Professional Licensing

Board of Nursing

MADELINE JACK
Nurse - Registered Nurse
License number
291579-3105
Date granted
04/13/1995
Date expires
01/31/2005
Class
Nurse - Registered Nurse
Status
Expired
Address
FARMINGTON, NM 87402
nursingutah.org
ID 29849698
LAST UPDATED 2024-03-22 07:29:55 UTC

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