LESLIE K JACKSON MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185552

License Status

NOT RENEWED

Business

First Name

LESLIE K

Last Name

JACKSON

Suffix

Business Name

LESLIE K JACKSON MD

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/1984

City

HURST

State

Zip

62949

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/12/2007