TRACY I JACKSON - Registered Nurse License in Illinois | # 043081232

TRACY I JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081232

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

I

Last Name

JACKSON

Business Name

TRACY I JACKSON

Original Issue Date

09/12/1997

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005