LYLE J JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041558632

License Status

NOT RENEWED

Business

First Name

LYLE

Middle

Last Name

JACKSON

Business Name

LYLE J JACKSON

Original Issue Date

01/22/2024

Effective Date

01/22/2024

Expiration Date

06/30/2024

City

REXBURG

State

Zip

83440

Ever Disciplined

LastModifiedDate

02/05/2025