MICKLE JACKSON - Registered Nurse License in Illinois | # 043030980

MICKLE JACKSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030980

License Status

INACTIVE

Business

N

First Name

MICKLE

Last Name

JACKSON

Business Name

MICKLE JACKSON

Original Issue Date

08/01/1972

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005