ATHAIA M JACKSON - Registered Nurse License in Georgia | # 043035402

ATHAIA M JACKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035402

License Status

NOT RENEWED

Business

N

First Name

ATHAIA M

Last Name

JACKSON

Business Name

ATHAIA M JACKSON

Original Issue Date

09/11/1974

Expiration Date

01/31/1997

State

GA

Ever Disciplined

N

LastModifiedDate

10/21/2005