MARIAN R JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011805

License Status

NOT RENEWED

Business

First Name

MARIAN R

Last Name

JACKSON

Business Name

MARIAN R JACKSON

Original Issue Date

01/22/1964

Expiration Date

01/31/1985

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005