TRACY R JACKSON - Registered Nurse License in Illinois | # 043082174

TRACY R JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082174

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

R

Last Name

JACKSON

Business Name

TRACY R JACKSON

Original Issue Date

04/02/1998

Effective Date

02/08/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013