DOLLIE M JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061526

License Status

NOT RENEWED

Business

First Name

DOLLIE

Middle

Last Name

JACKSON

Business Name

DOLLIE M JACKSON

Original Issue Date

07/03/1985

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/15/2005