ROBERTA B JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064707

License Status

NOT RENEWED

Business

First Name

ROBERTA B

Last Name

JACKSON

Business Name

ROBERTA B JACKSON

Original Issue Date

06/16/1987

Effective Date

02/09/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2005

Case Number

2002004235

Action

Suspension

Discipline Start Date

02/09/2004

Discipline Reason

Failed to file and pay Illinois income taxes.