LESLIE K JACKSON MD - Registered Nurse License in Illinois | # 041185552

LESLIE K JACKSON MD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185552

License Status

NOT RENEWED

Business

N

First Name

LESLIE K

Last Name

JACKSON

Suffix

MD

Business Name

LESLIE K JACKSON MD

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

07/12/2007