TRACIE M JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070775

License Status

NOT RENEWED

Business

First Name

TRACIE M

Last Name

JACKSON

Business Name

TRACIE M JACKSON

Original Issue Date

01/16/1992

Expiration Date

01/31/1995

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005