JACKIE A TATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078422

License Status

NOT RENEWED

Business

First Name

JACKIE A

Last Name

TATE

Business Name

JACKIE A TATE

Original Issue Date

11/02/1995

Effective Date

11/17/2014

Expiration Date

01/31/2017

City

CONWAY

State

Zip

72034

County

ARKANSAS

Ever Disciplined

LastModifiedDate

03/27/2017