MARY J JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096075

License Status

INACTIVE

Business

First Name

MARY J

Last Name

JACKSON

Business Name

MARY J JACKSON

Original Issue Date

04/01/1960

Effective Date

04/01/1960

Expiration Date

05/31/2002

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006