TRACY I JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081232

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

JACKSON

Business Name

TRACY I JACKSON

Original Issue Date

09/12/1997

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005