CARLA D JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080041

License Status

NOT RENEWED

Business

First Name

CARLA D

Last Name

JACKSON

Business Name

CARLA D JACKSON

Original Issue Date

10/29/1996

Effective Date

01/29/2013

Expiration Date

01/31/2015

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/09/2015

Case Number

2002005815

Action

Suspension

Discipline Start Date

09/26/2003

Discipline End Date

04/09/2004

Discipline Reason

Failed to file and/or pay Illinois income taxes.