TRACY I JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

JACKSON

Business Name

TRACY I JACKSON

Original Issue Date

04/10/2017

Effective Date

04/10/2017

Expiration Date

05/31/2018

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018