License holder summary

DIANNE S JACK is a Nurse Registered & Licensed Practical - Lpn licensed to practice in Michigan. The address on file for DIANNE S JACK is Port Huron, MI 48060.

Michigan

Department of Licensing and Regulation

DIANNE S JACK
Nurse Registered & Licensed Practical - Lpn
License number
4703023699
Date expires
03/31/1989
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Port Huron, MI 48060
michiganlicensing.org
ID 25814384
LAST UPDATED 2024-01-29 18:37:39 UTC

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