MONA LISA JACKSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049072

License Status

INACTIVE

Business

First Name

MONA LISA

Last Name

JACKSON

Business Name

MONA LISA JACKSON

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005