DIANE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060964

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

JACKSON

Business Name

DIANE JACKSON

Original Issue Date

03/01/1985

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1994003813

Action

Suspension

Discipline Start Date

11/17/1997

Discipline Reason

Disciplined in Oklahoma.