JACQUELINE MARIE CROCKETT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072273

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

CROCKETT

Business Name

JACQUELINE MARIE CROCKETT

Original Issue Date

10/01/1992

Effective Date

12/27/2025

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/27/2025