RUTH JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

RUTH

Last Name

JACKSON

Business Name

RUTH JACKSON

Original Issue Date

08/01/2001

Effective Date

04/08/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018