ASHLEY LANE JACKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005978

License Status

INACTIVE

Business

First Name

ASHLEY

Middle

LANE

Last Name

JACKSON

Business Name

ASHLEY LANE JACKSON

Original Issue Date

03/29/2006

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

FAIRWAY

State

Zip

66205

County

KANSAS

Ever Disciplined

LastModifiedDate

06/09/2008