GINGER LEE JACOCKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108091

License Status

INACTIVE

Business

First Name

GINGER LEE

Last Name

JACOCKS

Business Name

GINGER LEE JACOCKS

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006