BERNEICE JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021767

License Status

INACTIVE

Business

First Name

BERNEICE

Last Name

JACKSON

Business Name

BERNEICE JACKSON

Original Issue Date

12/22/1967

Expiration Date

05/01/1982

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005