CHARLENE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042111

License Status

NOT RENEWED

Business

First Name

CHARLENE

Last Name

JACKSON

Business Name

CHARLENE JACKSON

Original Issue Date

07/08/1977

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005