ANTHONY KENNETH JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104223

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

KENNETH

Last Name

JACKSON

Business Name

ANTHONY KENNETH JACKSON

Original Issue Date

09/18/2007

Effective Date

09/18/2007

Expiration Date

01/31/2009

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/17/2009