MICKLE JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030980

License Status

INACTIVE

Business

First Name

MICKLE

Last Name

JACKSON

Business Name

MICKLE JACKSON

Original Issue Date

08/01/1972

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005