ATHAIA M JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035402

License Status

NOT RENEWED

Business

First Name

ATHAIA M

Last Name

JACKSON

Business Name

ATHAIA M JACKSON

Original Issue Date

09/11/1974

Expiration Date

01/31/1997

City

DUBLIN

State

Zip

31021

Ever Disciplined

LastModifiedDate

10/21/2005