JACKIE S SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035500

License Status

INACTIVE

Business

First Name

JACKIE S

Last Name

SMITH

Business Name

JACKIE S SMITH

Original Issue Date

09/11/1974

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

FLINTSTONE

State

Zip

30725

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/15/2005