ROBERT A JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042562

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

JACKSON

Business Name

ROBERT A JACKSON

Original Issue Date

01/10/1978

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005