CONNIE S JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078692

License Status

NOT RENEWED

Business

First Name

CONNIE S

Last Name

JACKSON

Business Name

CONNIE S JACKSON

Original Issue Date

12/11/1995

Effective Date

11/07/2014

Expiration Date

01/31/2017

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/27/2017