CHAUNYALE TIFFANY JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084531

License Status

NOT RENEWED

Business

First Name

CHAUNYALE

Middle

TIFFANY

Last Name

JACKSON

Business Name

CHAUNYALE TIFFANY JACKSON

Original Issue Date

01/07/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TAMPA

State

Zip

33624

Ever Disciplined

LastModifiedDate

10/15/2005