MARIETTA T JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037902

License Status

INACTIVE

Business

First Name

MARIETTA T

Last Name

JACKSON

Business Name

MARIETTA T JACKSON

Original Issue Date

10/17/1975

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/08/2012