JACKIE E COOPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083734

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

COOPER

Business Name

JACKIE E COOPER

Original Issue Date

05/25/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005