JACKIE R DAVIS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041361928

License Status

ACTIVE

Business

First Name

JACKIE

Middle

Last Name

DAVIS

Business Name

JACKIE R DAVIS

Original Issue Date

08/03/2007

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/05/2026