KELLY W JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227593

License Status

NOT RENEWED

Business

First Name

KELLY W

Last Name

JACKSON

Business Name

KELLY W JACKSON

Original Issue Date

12/03/1984

Effective Date

12/03/1984

Expiration Date

05/31/2000

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1988000974

Action

Probation

Discipline Start Date

07/14/1989

Discipline End Date

07/14/1992