BETTY J JACKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

BETTY J

Last Name

JACKSON

Business Name

BETTY J JACKSON

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006