GRACE L JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068827

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

Last Name

JACKSON

Business Name

GRACE L JACKSON

Original Issue Date

08/22/1990

Effective Date

02/01/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015