SANDRA N JACKSON DENT MD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083252

License Status

INACTIVE

Business

Title

First Name

SANDRA

Middle

Last Name

JACKSON DENT

Business Name

SANDRA N JACKSON DENT MD

Original Issue Date

12/22/1998

Effective Date

02/06/2013

Expiration Date

01/31/2015

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/07/2014