PATTY J JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032556

License Status

INACTIVE

Business

First Name

PATTY J

Last Name

JACKSON

Business Name

PATTY J JACKSON

Original Issue Date

02/14/1973

City

VILLA RIDGE

State

Zip

62996

County

PULASKI

Ever Disciplined

LastModifiedDate

10/21/2005