CONNIE JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021100

License Status

INACTIVE

Business

First Name

CONNIE

Last Name

JACKSON

Business Name

CONNIE JACKSON

Original Issue Date

12/07/1967

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/21/2005