SUSANNE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031151

License Status

NOT RENEWED

Business

First Name

SUSANNE

Last Name

JACKSON

Business Name

SUSANNE JACKSON

Original Issue Date

08/02/1972

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005