ERNESTINE CONSTA JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169712

License Status

NOT RENEWED

Business

First Name

ERNESTINE CONSTA

Last Name

JACKSON

Business Name

ERNESTINE CONSTA JACKSON

Original Issue Date

11/01/1976

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

CHERRY VALLEY

State

Zip

61016

County

BOONE

Ever Disciplined

LastModifiedDate

01/14/2021