CHARLES E JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014932

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

JACKSON

Business Name

CHARLES E JACKSON

Original Issue Date

05/04/1966

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005