TINA RENEE JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089376

License Status

INACTIVE

Business

First Name

TINA

Middle

RENEE

Last Name

JACKSON

Business Name

TINA RENEE JACKSON

Original Issue Date

12/18/2003

Effective Date

12/08/2010

Expiration Date

01/31/2013

City

NORTHPORT

State

Zip

35473

Ever Disciplined

LastModifiedDate

11/08/2012