LYLE J JACKSON - Advanced Practice Nurse License in Idaho | # 209029217

LYLE J JACKSON

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029217

License Status

NOT RENEWED

Business

N

First Name

LYLE

Middle

J

Last Name

JACKSON

Business Name

LYLE J JACKSON

Original Issue Date

01/22/2024

Effective Date

01/22/2024

Expiration Date

06/30/2024

State

ID

Ever Disciplined

N

LastModifiedDate

02/05/2025