IDA MAE JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024176

License Status

INACTIVE

Business

First Name

IDA MAE

Last Name

JACKSON

Business Name

IDA MAE JACKSON

Original Issue Date

11/27/1968

Expiration Date

01/31/1989

City

TEXICO

State

Zip

62889

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005