LARAE S JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330829

License Status

NOT RENEWED

Business

First Name

LARAE

Middle

Last Name

JACKSON

Business Name

LARAE S JACKSON

Original Issue Date

07/25/2002

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/11/2016