JACQUELINE K HARRIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100955

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

HARRIS

Business Name

JACQUELINE K HARRIS

Original Issue Date

11/29/2005

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

03/27/2017