Jackie Brockman Smith
ExpiredIllinois license 041192578
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041192578
- Status
- Expired (Not Renewed)
- First issued
- October 17, 1979
- Expired
- May 31, 1988
- License holder
- Jackie Brockman Smith
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/17/1979
Contact
Vincennes, IN 47591
Indiana County