KENNETH R JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199552

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

JACKSON

Business Name

KENNETH R JACKSON

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1998

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006