JACKIE EDENBURN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032472

License Status

NOT RENEWED

Business

First Name

JACKIE

Last Name

EDENBURN

Business Name

JACKIE EDENBURN

Original Issue Date

12/13/1972

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

BEASON

State

Zip

62512

County

LOGAN

Ever Disciplined

LastModifiedDate

10/15/2005