TRACY A JACKSON - Registered Nurse License in Illinois | # 043083749

TRACY A JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083749

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

A

Last Name

JACKSON

Business Name

TRACY A JACKSON

Original Issue Date

06/04/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005