JACKIE LEE MULLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035428

License Status

INACTIVE

Business

First Name

JACKIE LEE

Last Name

MULLEN

Business Name

JACKIE LEE MULLEN

Original Issue Date

09/11/1974

Expiration Date

01/31/1985

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005