LUCILLE JACKSON PACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030544

License Status

NOT RENEWED

Business

First Name

LUCILLE

Last Name

JACKSON PACE

Business Name

LUCILLE JACKSON PACE

Original Issue Date

04/11/1972

Effective Date

01/07/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011