SAMANTHA L JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403150

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

JACKSON

Business Name

SAMANTHA L JACKSON

Original Issue Date

07/20/2012

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

HIGHWOOD

State

Zip

60040

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2016