IZETTA P JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011449

License Status

INACTIVE

Business

First Name

IZETTA P

Last Name

JACKSON

Business Name

IZETTA P JACKSON

Original Issue Date

07/21/1963

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005