JACKIE EDENBURN - Registered Nurse License in Illinois | # 043032472

JACKIE EDENBURN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032472

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Last Name

EDENBURN

Business Name

JACKIE EDENBURN

Original Issue Date

12/13/1972

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005