JACKIE DEAN WILLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031222

License Status

NOT RENEWED

Business

First Name

JACKIE DEAN

Last Name

WILLIS

Business Name

JACKIE DEAN WILLIS

Original Issue Date

10/04/1972

Expiration Date

01/31/1987

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005