STACEY JACKSON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335829

License Status

ACTIVE

Business

First Name

STACEY

Last Name

JACKSON

Business Name

STACEY JACKSON

Original Issue Date

07/18/2003

Effective Date

04/27/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/01/2026

Case Number

2019002687

Action

Suspension

Discipline Start Date

06/17/2019

Discipline End Date

10/02/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/05/2020.