JACKIE M BAGWILL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255387

License Status

INACTIVE

Business

First Name

JACKIE

Middle

Last Name

BAGWILL

Business Name

JACKIE M BAGWILL

Original Issue Date

10/07/1989

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/02/2026