MATTIE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043004935

License Status

NOT RENEWED

Business

First Name

MATTIE

Last Name

JACKSON

Business Name

MATTIE JACKSON

Original Issue Date

07/21/1953

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005