MIRIAM C JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145119

License Status

NOT RENEWED

Business

First Name

MIRIAM C

Last Name

JACKSON

Business Name

MIRIAM C JACKSON

Original Issue Date

09/29/1972

Effective Date

03/28/2016

Expiration Date

05/31/2018

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/19/2018