JACKIE SOUDERS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016251

License Status

INACTIVE

Business

First Name

JACKIE

Last Name

SOUDERS

Business Name

JACKIE SOUDERS

Original Issue Date

09/16/1966

Expiration Date

01/31/1995

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005