MYRTLE J JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006696

License Status

NOT RENEWED

Business

First Name

MYRTLE J

Last Name

JACKSON

Business Name

MYRTLE J JACKSON

Original Issue Date

04/01/1955

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005