JACK ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089224

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

ANDERSON

Business Name

JACK ANDERSON

Original Issue Date

11/13/2003

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2005003424

Action

Reprimand

Discipline Start Date

08/17/2006

Discipline Reason

administered medications to an agitated patient without a physician's order.