LISA RENEE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074616

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

JACKSON

Business Name

LISA RENEE JACKSON

Original Issue Date

12/15/1993

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005