ANNETTA W JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043002811

License Status

NOT RENEWED

Business

First Name

ANNETTA W

Last Name

JACKSON

Business Name

ANNETTA W JACKSON

Expiration Date

01/31/1989

City

VILLA RIDGE

State

Zip

62996

County

PULASKI

Ever Disciplined

LastModifiedDate

10/21/2005