BERTA M JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041045415

License Status

NOT RENEWED

Business

First Name

BERTA M

Last Name

JACKSON

Business Name

BERTA M JACKSON

Original Issue Date

12/29/1942

Effective Date

12/29/1942

Expiration Date

05/31/1994

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/27/2006