REGINA A JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119996

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

JACKSON

Business Name

REGINA A JACKSON

Original Issue Date

11/19/2014

Effective Date

06/09/2017

Expiration Date

01/31/2019

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2019