MADONNA L JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142649

License Status

INACTIVE

Business

First Name

MADONNA L

Last Name

JACKSON

Business Name

MADONNA L JACKSON

Original Issue Date

12/01/1971

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2020