JACKIE A TACKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190828

License Status

INACTIVE

Business

First Name

JACKIE A

Last Name

TACKETT

Business Name

JACKIE A TACKETT

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1996

City

PORT CHARLOTTE

State

Zip

33948

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006