SHIRLEY A JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082003

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

JACKSON

Business Name

SHIRLEY A JACKSON

Original Issue Date

11/18/1955

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

03/05/2010