JOHNNIE MAE JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028434

License Status

NOT RENEWED

Business

First Name

JOHNNIE MAE

Last Name

JACKSON

Business Name

JOHNNIE MAE JACKSON

Original Issue Date

04/28/1971

City

E. ST. LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005