KATHLEEN T JACKLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027414

License Status

NOT RENEWED

Business

First Name

KATHLEEN T

Last Name

JACKLE

Business Name

KATHLEEN T JACKLE

Original Issue Date

01/25/1971

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005