IVY EGINA JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073293

License Status

INACTIVE

Business

First Name

IVY

Middle

EGINA

Last Name

JACKSON

Business Name

IVY EGINA JACKSON

Original Issue Date

02/03/1993

Expiration Date

01/31/1999

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005