MAXINE DENISE JACKSON - Registered Nurse License in Illinois | # 041209405

MAXINE DENISE JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041209405

License Status

NOT RENEWED

Business

N

First Name

MAXINE DENISE

Last Name

JACKSON

Business Name

MAXINE DENISE JACKSON

Original Issue Date

05/10/1982

Effective Date

05/10/1982

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006