Registered Nurse
LICENSED PRACTICAL NURSE
043069929
NOT RENEWED
N
PHYLLIS
JACKSON
PHYLLIS JACKSON
03/12/1991
12/16/2020
01/31/2023
CHICAGO
IL
60621
COOK
Y
03/31/2023
2021006276
Suspension
11/08/2021
Failure to file and/or pay Illinois state income taxes.