TAWANA A JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101174

License Status

INACTIVE

Business

First Name

TAWANA

Middle

Last Name

JACKSON

Business Name

TAWANA A JACKSON

Original Issue Date

01/18/2006

Effective Date

02/03/2011

Expiration Date

01/31/2013

City

CONYERS

State

Zip

30012

Ever Disciplined

LastModifiedDate

11/08/2012