JACKIE J LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224205

License Status

NOT RENEWED

Business

First Name

JACKIE J

Last Name

LARSON

Business Name

JACKIE J LARSON

Original Issue Date

10/02/1984

Effective Date

07/18/2022

Expiration Date

06/30/2024

City

BLAIRSVILLE

State

Zip

30512

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/05/2025