SUSAN E JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300867

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

JACKSON

Business Name

SUSAN E JACKSON

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

05/31/2006

City

SOUTH BELOIT

State

Zip

61080

County

BOONE

Ever Disciplined

LastModifiedDate

10/09/2006