DAPHNE D JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079534

License Status

NOT RENEWED

Business

First Name

DAPHNE D

Last Name

JACKSON

Business Name

DAPHNE D JACKSON

Original Issue Date

08/22/1996

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009