License Information
License Number
043002811Business Name
ANNETTA W JACKSONLicense Type
NURSING BOARDOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
VILLA RIDGEState
ILCounty
PULASKIPost
62996Update Date
2023-12-17Business
NExpiration Date
01/31/1989Ever Disciplined
NLastModifiedDate
10/21/2005Registered Location
Peripheral Licensees
- AMY J KEISTLER VILLA RIDGE, IL 62996
- TRACY L HUGHES VILLA RIDGE, IL 62996
- AMY J KEISTLER VILLA RIDGE, IL 62996
- JOHN T BROWN VILLA RIDGE, IL 62996
- WILLIAM R THORNTON VILLA RIDGE, MO 63089
- DONALD J FITZGERALD VILLA RIDGE, IL 62996
- WENDY M PENNINGTON VILLA RIDGE, MO 63089
- KIM R PARKER VILLA RIDGE, IL 62996
- COLEEN MARGARET PINTER VILLA RIDGE, MO 63089
- MATTHEW M VOSS VILLA RIDGE, MO 63089