DORTHA M JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016944

License Status

INACTIVE

Business

First Name

DORTHA M

Last Name

JACKSON

Business Name

DORTHA M JACKSON

Original Issue Date

11/30/1966

Expiration Date

01/31/1989

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

10/21/2005