STACEY JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083682

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

JACKSON

Business Name

STACEY JACKSON

Original Issue Date

05/07/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62521

Ever Disciplined

LastModifiedDate

10/15/2005