PATRICIA L JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102705

License Status

NOT RENEWED

Business

First Name

PATRICIA L

Last Name

JACKSON

Business Name

PATRICIA L JACKSON

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006