SHIRLEY A JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290247

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

JACKSON

Business Name

SHIRLEY A JACKSON

Original Issue Date

08/04/1995

Effective Date

05/25/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012