DORTHA M JACKSON - Registered Nurse License in Illinois | # 043016944

DORTHA M JACKSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016944

License Status

INACTIVE

Business

N

First Name

DORTHA M

Last Name

JACKSON

Business Name

DORTHA M JACKSON

Original Issue Date

11/30/1966

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005