JACKIE K BOTSFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323409

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

BOTSFORD

Business Name

JACKIE K BOTSFORD

Original Issue Date

02/16/2001

Effective Date

05/20/2016

Expiration Date

05/31/2018

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018