JACKIE LYNN BORG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161917

License Status

INACTIVE

Business

First Name

JACKIE LYNN

Last Name

BORG

Business Name

JACKIE LYNN BORG

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006