JACKIE DEAN WILLIS - Registered Nurse License in Illinois | # 043031222

JACKIE DEAN WILLIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031222

License Status

NOT RENEWED

Business

N

First Name

JACKIE DEAN

Last Name

WILLIS

Business Name

JACKIE DEAN WILLIS

Original Issue Date

10/04/1972

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005