PATRICIA ANN JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132032

License Status

INACTIVE

Business

First Name

PATRICIA ANN

Last Name

JACKSON

Business Name

PATRICIA ANN JACKSON

Original Issue Date

08/26/1969

Effective Date

08/26/1969

Expiration Date

05/31/2000

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006