JACQUELYN L HODGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075569

License Status

NOT RENEWED

Business

First Name

JACQUELYN L

Last Name

HODGE

Business Name

JACQUELYN L HODGE

Original Issue Date

05/25/1994

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/15/2005