JACKIE L JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059115

License Status

NOT RENEWED

Business

First Name

JACKIE L

Last Name

JOHNSON

Business Name

JACKIE L JOHNSON

Original Issue Date

12/27/1983

Expiration Date

01/31/1999

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005