JACKIE SUE MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074961

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

SUE

Last Name

MARTIN

Business Name

JACKIE SUE MARTIN

Original Issue Date

01/05/1994

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

03/17/2009